Friday, March 14, 2014

Which Witch is Which? Part III: I-N


When it comes to joint pain, arthritis is undeniably one of the biggest culprits, but we should not let that cloud our judgment. Yes, arthritis can cause severe elbow joint pain, but surprisingly enough, this is less frequent than what many people believe.


One common cause of elbow pain is a condition known as tennis elbow, and no, it does not only affect tennis players. Approximately 50% of people who participate regularly in a racquet sport will get tennis elbow at some point, but even so, the vast majority of cases involve people who do not play any type of racquet sport. Anyone with a job that is demanding on their forearm muscles is particularly at risk. Plumbers, electricians, painters, and even butchers are prime candidates.


Conventional treatment usually involves physiotherapy and pain relief medication, and sufferers are instructed to avoid using their elbow or elbows excessively. In more severe cases, patients may receive corticosteroid injections which are administered into the immediate area. Having said all that, many people are reluctant to have these injections, and many also can not afford to pay for physiotherapy. Instead, they tend to opt for natural remedies such as fish oil supplements and supplements containing New Zealand Green Lipped Mussel extract.


Nerve entrapment is another very common cause of elbow pain, but fortunately it is relatively easy to determine whether or not this is the cause of your elbow pain. In most cases of nerve entrapment, a person will also experience a tingling sensation in their little finger and their ring finger. If there is enough pressure being applied to the nerve which is trapped, the tingling can be replaced with near total numbness.


Nerve entrapment is usually self-correcting. In other words, with enough rest, the pain should eventually go away, although there are cases where surgical intervention is required so that the ulnar nerve can be repositioned.


Bone tumors can also cause a significant amount of pain in one's elbow, but in truth, this is actually very rare. As with bone tumors, septic arthritis is yet another disease which can certainly cause severe elbow joint pain, but it too is very uncommon. Additionally, it is more often than not easily treated with antibiotics, although surgery may be necessary in very severe cases.


While joint pain is often caused by medical conditions such as some of those I have discussed above, it can also quite often be caused by nothing more than a nutrient deficiency. Joints are generally high maintenance body parts, and as such, they are dependent on a healthy diet. If you know your diet is not providing you with all the vitamins and minerals your body needs, you really should try to make a few changes, or alternatively, you should consider supplementing your diet.


Minimally Invasive Knee Replacement in India - High Flex TKR


Minimally invasive knee replacements are popular amongst patients. The perceived benefits are less post op pain, less requirement for analgesics, and faster return to normal activity. The surgeon performs through traditional open surgery, downsizing the incision. The instruments used are miniature versions of the standard instrumentation. Through smaller incisions standard and high flex knee replacements can be done.

High flex knee replacements are the latest advance in Knee replacement surgery in India. Indian orthopedic surgeons are now able to provide this operation to patients with a higher functional demand of knee bending. Arabs, South Indians, Japanese customs call for knee bending in activities like sitting cross legged, kneeling, stair climbing, use of Indian toilet and prayer. Hitherto knee replacements only afforded ninety degrees of bend. A new knee prosthesis allows 155 degrees of bending. Even computer assisted navigational surgery cannot achieve this degree of flex if improper implants are chosen.

Many patients who were in dire need of knee replacement for arthritis are now thronging to have their operations done in Chennai. Although TKR is not new to Indians, the procedure did not find many takers earlier, about 12,000 knee per year before for the whole of India. These numbers are poised to grow exponentially, with the advent of newer designs and inflow of patients from abroad.

Orthopedic surgery is affordable in Chennai's hospitals and is world class.
Another attraction is Minimally invasive surgery an operation in which incisions are smaller than usual. This reduces blood loss and post operative pain and allows quicker return of function. Again MIS and High flex knee replacements are world class operations available in India at very affordable costs minus the hassles of grappling with insurance companies, Medicare, Government NHS etc.

Knee Pain - How to Deal With Tendonitis


Anterior knee pain is very common (pain in the front of your knee, above or below your kneecap), especially with activities such as bending, squatting, stairs or running. One major cause of this is tendonitis. There are two main tendons that get strained in your knee most commonly: the patella tendon and the quadriceps tendon.

The quadriceps muscle is the large muscle in the front of your thigh which attaches to your knee cap ("patella") via the quadriceps tendon. Your knee cap must move up and down in its groove in order for your knee to bend and straighten. Your quadriceps "tendon" comes from the quadriceps muscle in your upper thigh, and then wraps down over the knee cap. The quadriceps tendon is then referred to as the "patella tendon" as it attaches below the knee cap to your tibia, (your lower leg bone).

Quadriceps and patellar tendonitis usually occur from repetitive stresses on the tendons from repetitive bending and straightening your knee such as squatting, stairs, running, jumping or quick starts and stops. The forces going through your knee are approximately 2-3x your body weight just with walking, and up to 5x your body weight when you are running. This is a lot of stress through your joint. Muscle imbalances, as well as poor alignment within your knee joint or your lower leg or ankle can also lead to uneven forces on the tendon, which can overstress the tendon even with low impact activities. You do not have to be running or an athlete to get tendonitis. Tendonitis is also common for people who have had knee surgery in the past and moved too quickly back into activity without fully regaining the strength in their quadriceps, or fully balancing all of the muscles in their leg.

Just like in any tendonitis, if the stresses going through your tendon are too much, then you can get tissue breakdown and microtears in the tendon, which can lead to inflammation and pain and even partial tearing of the tendon. Chronic tendonitis can also lead to degeneration of the tendon and scarring within the tendon or tendon sheath, which is considered tendonosis.

Pain with quadriceps or patella tendonitis is typically right around the tendon, at your lower thigh, either right above your knee cap or below your knee cap, respectively. The tendon is typically tender to touch or massage and usually will hurt when you bend and straighten your knee. It can be swollen if severe enough and can also get stiff after sitting for a long time, or when you first wake up in the morning.

The biggest thing with any tendonitis to remember is that it is inflammation in the tendon, so rest is important. You do not want to continue to increase that inflammation; you need to let the tendon fibers heal. You can also take anti-inflammatory medication over the counter, such as Ibuprofen. If you see an orthopedic doctor you will probably be given a prescription anti-inflammatory medication, such as Celebrex or a Medrol Pack (Prednisone) which should help. The best thing you can do at home for it besides rest is icing. Better than even an ice pack, is an ice massage to the tendon, if you can tolerate it. Fill a small paper cup/ Dixie cup with water and freeze it, then you can massage the ice over that area for 1-2 minutes, or whatever you can tolerate.

Also important is gentle stretching. For your quadriceps, the best way to stretch is on your stomach so that your hip is straight. Place a rolled up towel or pillow under your lower thigh to slightly lift your leg off the surface and gently pull your ankle towards your buttock. You can stretch yourself, or if that is too difficult to do without twisting your back or your hip, then have someone gently stretch your knee for you. Just make sure they are doing it very gently and not pushing through pain. Hold the stretch for 10-15 seconds and repeat 5 times.

If it has moved from acute tendonitis to more of a tendonosis, then it is not as much inflammation that is the primary problem but that degeneration and scarring of the tendon has occurred. If so, doing massage right at the tendon would be helpful to break up the adhesions. If it's really tender to massage, you might want to do the ice massage first to numb it a little, and then massage, and then do another ice massage after. You want to be massaging back and forth over the tendon fibers, because adhesions can build up within the tendon and the tendon's sheath. Also continue with the gentle stretching.

If it does not get better I would suggest seeing your orthopedic doctor because he or she will most likely send you to physical therapy which can be very beneficial. The physical therapist, after evaluating you will most likely do the cross friction massage and the stretching for you, and they also can do modalities to help bring down the inflammation and break up the scar tissue or adhesions, such as ultrasound, electrical stimulation and iontophoresis.

You may have seen people wearing a knee strap on their knee for tendonitis. These can be helpful for patellar tendonitis. The knee straps or bands are worn beneath your kneecap, putting pressure on your patella tendon. This can sometimes help to decrease the stress through the patella tendon where it attaches to the bone. If you do have anterior knee pain from patella tendonitis (so the pain is below your knee cap, versus above the knee at the quadriceps tendon as discussed earlier) then a knee strap may help reduce your pain and the stress on your tendon with activities. However, be aware that the strap will not take the place of the other treatment suggestions discussed above. The strap is also typically only helpful for patellar tendonitis, and is not used for quadriceps tendonitis.

As the inflammation and pain go down you really want to be careful how you progress back into exercising and high level activities. Over stressing the tendon can cause microtearing and tissue breakdown, which leads to the inflammatory response and can lead to partial tendon tearing. It's a vicious circle that you need to break, so if you start going back to working out, running or high level activities too early, especially doing repetitive knee flexion/extension exercises which stress the quad tendon, such as squatting, repetitive stairs, running or the knee extension machine, it can definitely exacerbate things. If you are working with a physical therapist they should help guide you back into your activities safely.

8 Exercises to Create an Athletic Physique


More and more people are becoming tired of the "Bodybuilder" look. Let's cut to the chase. Most people want to look good to attract the opposite sex. It's really that simple. What kind of body does that? The answer is in multiple magazines, on tons of websites as well as in many playing arenas. The "Athletic Body" is the answer!

If you compare the bodies of today to that of the late 80's and 90's that are "attractive or desirable", you will see that men are Athletic/Natural Muscle and women are curvy with good muscle tone. Gone are the days of the no-neck, roid-raging, waddling bodybuilder and the stick figure no-ass having bleach blondes with crazy crimped bangs. We have entered the hot athletic body era.

How do you develop the Athletic Body that the opposite sex wants to see on you? There are of course many ways. Let me be clear and mention I do NOT want to discount the importance of Traditional Weight Training. There are many benefits to weight training. However, for now I want to focus strictly on the Athletic Look. An athlete can do what? They can perform! In order to perform they must be able to use their body as a vehicle to respond to their every whim. Would you agree?

So doesn't it make sense that in order to get your body to respond to your athletic desires (as is the necessity of the athlete), you should do workouts which incorporate body movements? Remember that "form follows function." In other words, if you force your body to perform a function the form that is necessary for that function will follow. You are probably asking, "What are these functions that will create the form we want?" The answer is bodyweight exercises, and derivations of them.

Yeah I know! I love the weights and talk a lot about them; but, we can't deny the results from good ol' pull-ups, push-ups, and lunges, et cetera. You must perform these types of exercises to tie all the weight training together to create the ultimate athletic physique. Do you perform these exercises already or are some too difficult or boring?

If you find them too difficult or boring I have a couple ideas to help you out with that. Finding a way to make the exercises easier or more exciting can help you get to where you are able to push past that plateau. A great way to accomplish this is to add assistance, thus reducing your effective bodyweight in a given bodyweight exercise. If you already do many of these exercises with full bodyweight and find them too easy, I have a couple ideas to take them to a completely different level. This is accomplished by performing variations that spice up these basic exercises and stimulate the kind of results your workouts may currently be lacking. A great way to add structure and variation simultaneously to your workout plan is my using the right equipment for your body movement exercise.

At this point you're probably wondering, "how is using this piece of equipment going to enhance body movement exercises?" The best way to describe this is to take the simple exercises, explain what they will do to help you reach your maximum athletic appearance development and give variations for each. Without any further ado the exercises for the ultimate athletic physique and their variations depending upon fitness level or fatigue.

Upper Body

Pull-Ups / Chin-Ups

Look at most athletes from behind and you will see an awesome V-taper. That is the result of a great set of Lats. What is one of the top ways to develop Lats? What else, but none other than Pull-ups and Chin-Ups! The problem is that many people can only do a few reps, if any. That is not enough to elicit the kind of changes needed to create the Athletic Physique. How do we overcome this? You can opt to use an assisted-pull up with the help of a plate-loading machine that will provide a counterbalance on your body weight, which allows you to work with less than our full bodyweight. The result is more reps and more results.

Now if you are already extremely strong, you can actually do 15 or more good reps! So now what? How about you try using ONE ARM! Most people can't do TRUE single arm pull-ups (not the grab the other wrist kind, but true single arm pull-ups). With the assisted pull-up you can add some weight to counterbalance your own body weight and do single arm work. This is the perfect twist to a basic exercise to push your body to the next level.

Oh and let's not forget that pull-ups and chin-ups are perfect for developing the biceps and rear delts, when done right!

Push-Ups

What can I say about push-ups? They are a staple for chest and triceps development. By placing your hands at a higher level you decrease the difficulty. By planting the feet higher you increase the difficulty. You can try single arm push-ups as well. If you want to mix the two ideas, you can come up with some serious chest development. An example would be to plant the hands at an elevated level and use only one arm. This reduces the load on that arm via the angle you are at and allows more reps. The result is a variation sure to challenge your body to adapt.

Dips

Many would consider dips one of the best exercises for triceps, lower chest and front shoulder development. If you are having trouble knocking out 10 reps then assisted dips are the key to getting past that plateau and getting the results you are looking for. If you easing knock out 20 reps then a drop set is an idea to take it to the next level. "A drop set on a bodyweight exercise?" That's what I said! By adding weight to the counter-lever on the Dip-Assist on successive sets one after the other you are essentially doing a "drop-set." As you know, drop sets are highly effective.

Lower Body

Squats / Lunges

Developing the total Athletic Physique means getting those legs going too! Often neglected by many TALKERS, always done by DOERS! Do you talk or do you do? If you are a doer and looking to get the balanced physique, it's hard to beat squats and lunges. If you have difficulty performing squats or are coming off of an injury, assisted squats may be the perfect option. This allows you to work with less than your body weight to build up the necessary strength.

If you already do tons of squats this is a great way to work until failure and then hit additional reps with assistance to push to a new tier. Another way to use the machine to take this exercise to a new level is to be able to perform Single Leg Squat with the assistance. I don't care how good of shape you are in. Single leg squats are very challenging. This apparatus gives you the chance to do massive numbers of reps with single leg for the extreme athlete for incredible changes in the Athletic Physique.

Lunges are another good exercise for the legs. To enhance the lunge or build up to it you can do Single Leg Press Downs on the Assistance Pad. Whether you are trying to build strength to lunge or push to a new level all you have to do is adjust the amount of resistance you add.

Abs and Lower Back

Crunches and Hanging Leg Raises

It doesn't get much simpler than crunches to work the abs. Lie down on the floor and crunch away. Let's say you want to take it to a new level. On a pull-up bar or using a plate-assisted machine, you can perform knee raises. This is a simple exercise. Just grab on to the bar and lift your knees being sure to tilt the pelvis for maximum abdominal engagement. If you find this easy you can keep the legs straight throughout the movement and do traditional Leg Raises. Whichever you choose, you are sure to hit the abs and lower back.

Thursday, March 13, 2014

Hip Replacement


After years of a deteriorating hip joint, you are left with almost constant pain and decreased mobility. Eventually, your personal and social life suffers. You are no longer able to do all the things you could once do with ease. If you've exhausted all other attempts to relieve the pain and stiffness, it may be time for you and your doctor to consider hip replacement surgery. You don't have to live with pain for the rest of your life. Hip replacement is a common surgery with a high success rate.

Depending on your age and the condition of your hip, total hip replacement surgery (total hip arthroplasty) may offer the best solution to your problem. Hip replacement hardware (ball and socket prosthesis) can last up to 20 years. And it can often be replaced if the first prosthesis wears out (though second surgeries are not always as successful as the initial hip surgery). If you are fairly young, your doctor may suggest delaying surgery. If so, medications or lifestyle changes may help control your symptoms until the time is right for joint replacement. Losing weight can take a tremendous amount of stress off your hip and knee joints.

Surgical Procedure

Most hip replacement surgeries involve the traditional approach to the hip joint (lateral/posterior or posterior approach). With the common lateral approach, an incision (8-12 inches long) is made down the outside of your hip. The ball at the upper end of your femur (thigh bone) is cut off and replaced with a ball/metal stem component. The stem is placed into the marrow cavity of the thigh bone and the ball portion at the top fits into your new ceramic or plastic socket that is implanted into your pelvis (the cartilage from your hip socket is removed or smoothed).

The Birmingham Hip Resurfacing System (BHR) is relatively new (introduced in 1997). Long term studies are still in progress, but so far results have been favorable. The BHR method eliminates the need to cut off the ball at the top of the femur. Instead, the ball is left intact and merely resurfaced (reshaped) to allow an anatomically shaped metal sphere to be attached. The socket is replaced with a metal implant. The procedure is bone-saving and results in a stronger hip joint than the traditional total hip replacement. The chance of hip dislocation is greatly reduced. For younger and active people, this may be the procedure of choice.

Minimally invasive hip replacement surgery involves an anterior approach to the hip joint. An incision is made along the front of the hip, which allows a more direct route to the hip joint. The major hip muscles are not in this area, so there is minimal tissue/muscle damage during surgery. This usually results in a shorter hospital stay, a quicker recovery/rehab period, and less pain. The only downside to this method is there are few surgeons performing the anterior approach surgery. It requires a special surgery table (which few hospitals have) and special surgical training.

Total Hip Precautions

After traditional total hip replacement surgery, patients are required to follow strict precautions that restrict certain movement/positions of your new hip. This is to prevent your new hip from dislocating. They are commonly called total hip precautions, or total hip protocol, and include the following:


  • Do not cross your legs

  • Do not point your toes inward (no pigeon toes)

  • Do not bend your new hip more than 90 degrees

Your doctor may also restrict the amount of weight you can put on your new surgery leg while walking. This is called your weight-bearing status. This should be strictly followed so you do not damage your new hip while it's healing.

Surgery Complications

All surgeries carry risk. Hip surgery complications include, but are not limited to, infection, DVT (deep vein thrombosis- blood clot), dislocation of your new hip, leg length discrepancy, vascular damage, nerve damage, just to name a few.

Surgery Recovery

Recovery after hip surgery depends on the amount of cartilage damage, your age, and your fitness level prior to surgery. Exercise before your surgery and your recovery will be easier. Approximately 4-6 months after surgery you should be fully healed, but you must take an active part in your recovery by doing daily exercises and taking daily walks.

Making Money Quick - 3 Ideas to Make Money Fast


If you need help making money quick, then listen up. This short article shows you exactly to make money fast with 3 proven ideas. Sure, you've got to take a little action, but I'm talking about making money quick, like as fast as tonight. So, let's not waste anytime. If you follow along, you can truly get money quick. Here's 3 ideas to make money fast:

Make Quick Money Online

The fastest and easiest way to make some money right now is to look through your attic, garage, and wherever else you (or your spouse) keeps your junk. Find everything you can and list it on eBay. You'd be surprised how many people buy stuff on eBay...stuff that you honestly would rather just throw away.

Selling some of your old collectibles can produce a pretty penny as well. I've seen a friend of mine sell his old coins for thousands of dollars online. Ah, the power of eBay.

Now let's pretend for a second you don't have a garage full of stuff (you know you do!). What can you do then? Here's a supertip for you. Go to sites like freecycle.com and see what people are giving away for FREE. Go pick it up, then sell that on eBay. A little cheezy I know, but hey, you did say you want to be making money quick, right?

If that doesn't product enough money fast enough for you, try this:

Get Quick Money Given To You

Let's face it. We all know someone with money. Heck, in my family I'M the one with money! I can't tell you how many times I've coughed up thousands of dollars for a friend of family member. Sister needs college money? Here ya go. Mom needs knee surgery? Got it. Friend needs a new laptop for his job? Sign me up!

So, sadly you aren't my friend (yet!) or in my family. But odds are you know someone who has a few extra bucks laying around. Make the phone call. Tell them what you need. Make sure you use a REASON WHY. That's what it's all about. I need $1,000 because I want to start an online marketing business and I can get a personal coach to help me setup everything, Uncle Rich. (like that name?;)

If begging and pleading doesn't work, don't worry. There are other alternatives. You can hit up payday loan and cash advance places. There in your town. Google them. They are not the best places usually and I don't really like the practice. I'd only recommend them if it was such a necessity that life and limb were on the line.

Otherwise, I'd keep working on Uncle Rich or check in Granny. But, what if you've got no family with money and time is running out. You've got to make money fast...and I mean quick. Like, yesterday, even. Here's the real secret to making money quick:

Make Money Working Online

OK, so by now you're expecting me to sell you something. But, don't worry. I've got something you can do for free to make quick cash. You might not like it, but it is pretty fast and easy.

Join Elance.com. It's free to join. (yay!) You can setup an account and start doing any odd jobs you possibly can. Companies and people like me put jobs on there that pay anywhere from $50 all the way up to the tens of thousands. I'd start small if I were you. Focus on what you can already do.

Some examples are accounting, copywriting, editing, translation, web design, virtual assistant, and a lot more. If you can't find anything you can do there then try these 2 sites:

Fiverr.com and MTurk.com

They don't pay as much, but the jobs you can do are a lot easier. Actually, the site Fiverr.com is up to you. You post what job you will do for $5.00. It can get a little crazy in there. But hey, $5 is $5 right?

If you don't mind putting in a little effort you can setup a blog and find affiliate offers to promote. You can setup a free blog at Blogger.com or WordPress.com. Pick a niche you like. Could be knitting, writing, whatever. Use ClickBank.com and CJ.com to find affiliate offers you can add to your blog. When people click your affiliate links and buy, you get paid.

Through CJ.com you can even promote eBay products. What do you know, we've come full circle. To make even more money off your blog, you can add Google AdSense. These are ads that Google runs on your site and when your visitors click the ads you get paid. Sometimes I get clicks that pay me $2-$4. Isn't that cool?

1 click an hour and you're making decent money everyday.What have we learned about making money quick? So, what have we learned? If you're looking to make money fast you're easiest option is to start with eBay. Go through the garage, the attic, wherever and start listing. Just think, you can make a few bucks AND finally see your garage floor again. After you've exhausted your eBay stash, start calling the friends and family. At least one of them has some money they need to give to somebody. What not you? I heard Uncle Rich is waiting for your phone call. Just remember, after you say how much you need, follow up with the word because and explain why.

And after that...go to elance.com. Find odd jobs, do them. Make money fast and easy. Quickly, even. It's all up to you. Good luck, though with these ideas to make money fast you won't need luck.

What Can You Do If You Suffer From Runners Knee To Stop It Coming Back?


Do You Suffer From Runners Knee (Patellofemoral Pain Syndrome)? Have you ever had knee pain; a rather general tenderness in the knee that can come with a sharper pain when you extend the knee, or step down steps? You might just be experiencing a condition known as Runners Knee (also called Patellofemoral Pain Syndrome).

As you might surmise from the title, patellofemoral pain syndrome, or runner's knee, is a problem generally found in runners, but it's also seen in athletes from many other disciplines where there's a lot of knee bending activity - walking, running, jumping, biking, and so on.

What is Runners Knee (Patellofemoral Pain Syndrome)?

Runners knee is not really a single ailment, it's more of an expression that covers a number of concerns caused by a number of underlying problems, all of which can result in pain in and about the knee, hence the name 'Patellofemoral Pain Syndrome'.

Runners knee is usually induced through activities where use of the knee is prominent like running, court sports, hill walking, etc - but it can also happen when simply walking up or down steps, or from sitting for long periods at a time.

What Causes Runners Knee (Patellofemoral Pain Syndrome)?

There are multiple causes of runners knee (Patellofemoral Pain Syndrome), and it's not uncommon to see more than one of these factors coming into play for any given person sufffering from this ailment.

Any surplus irritation or stress placed on the various components of the knee named above can cause aggravation that will be identified as runners knee.

Overuse - plain and simple over-doing it. Repeated heavy stress placed on any joint will, over time, normally result in pain or damage.

Injury to the knee - if you have fallen or had some sort of injury to the knee, or leg, you may have displaced the patella, stressed the ligaments, or affected the muscle wellness and balance in the thigh or calves.

Alignment concerns - your kneecap might not sit right, either naturally, as a result of an injury. The bones in your leg may not be well aligned, or you might have foot issues producing awkward foot pronation.

Foot Problems - over pronation and flat feet can cause even more tension on muscles and tendons in the foot and lower leg - the added stretching of the muscles like this can bring on weaker muscles and reduces support for the knee.

Weak muscles in the leg - your quadriceps are the primary muscle responsible for flexing the knee, and are necessary for actions such as walking, running, jumping, and squatting. Weakened thigh muscles (quadriceps) are often believed to be the major cause of Runners Knee (Patellofemoral Pain Syndrome).

How are you able to treat and prevent Runners Knee (Patellofemoral Pain Syndrome)?

Because there's no single condition and no simple source, therapy for runners knee will depend upon an accurate analysis of the underlying cause.

Rest - As with most leg injuries, the first course of treatment method is to rest.

Ice - If the pain is bad enough, you can ice the joint to help lessen the pain.

Knee Support - Wearing a protective sleeve or taping the joint may also help reduce the stress placed on the knee.

Footwear - Correcting issues including overpronation or flat feet can also help protect against patellofemoral pain syndrome.

Muscle Strengthening - stretching and bolstering activities can help because stronger, more flexible, muscles provide improved support and stabilization for the knee.

Switch Your Activities - Reducing the mileage you run, finding flatter runs, or less court time, will help to reduce the pain simply because you are cutting down the stress.

Cross Training - adding low impact activities and workouts to your program can help with muscle wellness - strength and flexibility.

This article is not intended to substitute expert guidance, always consult a qualified specialist before taking any medicine or embarking on a physical therapy program.