Saturday, March 8, 2014

What Is an Unloader Knee Brace?


An unloader knee brace is designed to treat osteoarthritis. It is not suitable for everyone but can be a valuable tool for the right person. The following questions can help determine if this form of treatment will be of benefit to you.



  1. Do you have osteoarthritis, the "wear and tear" type of arthritis (as opposed to Rheumatoid Arthritis).


  2. Is the arthritis limited to one half of the knee? Either the inside half (the most common type) or the outside half?


  3. Do you want to delay the need for major orthopaedic surgery or have you been told you are too young for a joint replacement?

If all three points apply to you an unloading knee brace may be of benefit. This form of knee support is designed to reduce the amount of body weight taken through the worn half of your knee. It does not make the knee "unworn" but by decreasing the workload of the worn surface it can lead to a reduction in pain and stiffness and slow the progression of the arthritis.

Unloader knee braces are described as functional braces. This means that they are designed to allow you to go about your normal daily activities without restriction. Many people use them to return to recreational activities they were forced to stop due to the pain of arthritis. They are used by golfers, skiers and outdoor walkers, particularly those on uneven ground.

Your doctor may use medical terms to describe your arthritis. Unicompartmental osteoarthritis is the diagnosis you are looking for as this means the wear is in one half of the knee only. If you are confused ask your doctor if an unloader brace will be of benefit to you.

Severe Arthritis in Lower Back - Treating Back Arthritis


It's amazing the amount of specifically women in the West who are going through the rigors of arthritis in the back at such a young age. where the rate at which the disease is spreading, one would expect to happen at least beyond age 70.

Men of course also experience the same symptoms, but young women in the West especially are having the quality of life stripped from them as early as their late 30's, early 40's.

Just when you're starting a family and that new chapter in your life, variant forms of arthritis such as spondylosis (spinal osteoarthritis) or bursitis of the lower spine, are inflicting women quite rapidly, while prior to this they may have also been living with fibromyalgia, costochronditis or degenerative disc disease.

Obviously, spinal arthritis is somewhat different to knee or hand arthritis albeit they all have their degrees of pain, but when the disease starts in the back, then down to the lower back - the pathway that this disease often takes is one that leads to the genitalia rendering your control almost useless.

This is more likely to happen unfortunately if you have pudendal nerve damage, this nerve runs down through the tail bone, through the backside and ends in the genitalia, where it the arthritis will potentially interfere with everything here.

Obviously this is a worst case scenario, but it is all very probable especially if you are only in your 40's, so what treatment can be taken to slow this disease down and in some way help it to go into remission if at all possible.

Treating Arthritis in Lower Back

NSAID's and Injections

You can take these but beware long-term use is not advised due to the violent nature they can inflict on your internal organs such as the liver, kidney and heart.

Three quite commonly used NSAID's for back pain are Rituxan, Bextra and Methotrexate.

Injections also provide a quick fix to the pain, where the steroid cortisone is often used to reduce the swelling in an instant.

Surgery

Now if you're from the U.S you will know that if you don't have some kind of insurance, either you will or you won't be able to afford this.

Surgery is extremely expensive but it does obviously differ from state to state.

The first step of the procedure is to see a neurosurgeon which will cost $200 - $400, surgery will then cost $10'000 - $25'000 and the hospital fee may range from $30'00- $50'000.

That's how damaging the costs are in the U.S. Canadians and Europeans and other countries may or may not be able to undergo surgery free, depending on their health care system.

Surgery will fix what damage needs removing or fusing in the spine but it won't obviously stop the disease, just perhaps slow it down and make the pain bearable again.

Natural Homeopathic Supplements and Treatments

FDA registered supplements in the U.S and over the counter pills in Europe and beyond work slightly differently than NSAIDs.

They help reduce the inflammation and relieve the pain, but they also try and restore some density to the bone while slowing the disease down by restricting this auto-immune disease from attacking the bone.

This is something NSAID's can't do.

Homeopathic ingredients include magnesium and calcium for re-building bone structure, Reishi and Glucosamine Complex, for slowing the rate at which the disease spreads and Chondroitin Sulfate, MSM and Capsaicin for reducing swelling and flare-ups.

Tips on How to Appropriately Lessen Knee Inflammation


Knee inflammation is a very common occurrence of minor injuries inflicted on our knees. Many of these injuries could come about at any time a result of several conditions. These injuries could come about caused by direct injury, falls, poor footing, sudden and jerky movements, lifting heavy weights and doing exercises not having enough warm up. Other than these kind of traumatic events, inflammation of the knee joint can also happen in most infections just like viral fevers and perhaps where immune mediated inflammatory alterations occur in the body.

The main principle can be both local release of inflammatory mediators or migration of inflammatory immune cells to the knee joint. These mediators would respond to the injury which has took place in the knee or in some cases would injure the lining membranes of the knee joint thereby precipitating a vicious cycle. The increased circulatory leaks in the structure would precipitate inflammation in the damaged joint and sensory nerve endings arousal would bring about Knee Pain symptoms likewise.

As a result, an individual can hope to pass though a swollen knee pain solely after treating these inflammation related responses. Most of the time, the human body itself can pass though such conditions except if we support the procedure, the length of time taken for recuperation will be a lot longer.

Therefore, learn about a few of the steps to use in minimizing these inflammatory responses.

1. Rest - most likely one of most significant steps of minimizing inflammatory response is to break the vicious cycle that happens with further insult which worsens the inflammatory condition and lengthen the process of recovery. Hence, complete bed rest, utilization of crutches to stop weight bearing, use of splints...etc can be utilized in relaxing a knee joint.

2. Use of knee ice pack - using ice could be helpful in the initial moments of the injury to slow up the inflammatory mediators released and also to prevent influx of mediators from elsewhere. The constricting nature of the blood vessels in reaction to cold could be helpful in exerting this effect.

3. Compression - as vascular permeability encourages fluid accumulation, using compression would avoid the fluid from leaking out and cause swelling and also lessen the inflammatory response.

4. Anti-inflammatory medications - utilization of such medications would alleviate the associated swollen knee pain and also the tendency to release inflammatory mediators.

5. Elevation - this is a technique to lessen the blood circulation on the injury site that leads to build up of excessive fluids and also to help the draining of congested blood vessels in the region.

Putting aside the above inflammation minimizing methods, when the underlying cause is a medical problem or elsewhere in the body, it would be essential for such conditions to be treated along with the previously mentioned treatment techniques.

Arthritis Knee Pain - 3 Tips to Decrease Arthritis Knee Pain


So you have arthritis knee pain? You are not alone. Unfortunately it is a reality for many of us over the age of 50. We suffer from arthritis pain in some form.

I know for many of us, we have been so consumed with our careers and family life that we have neglected to take care of ourselves to our own detriment.

All of a sudden we are faced with aches and pain in our knees and other joints that we never intended to have at this point in our lives.

Arthritis knee pain affects our mobility and freedom to do the activities we enjoy like walking, golfing, biking and fishing. So what can we do about it? Well we can sit back and do nothing or we can learn ways to alleviate arthritis pain.

Here are 3 great tips to decrease arthritis knee pain.

1) Exercise - Exercise is one of the most effective thing we can do to decrease arthritis pain. Simple exercises like walking 30 minutes a day has so many benefits. Exercising causes us to release endorphins which are our natural pain killers. The result is decrease pain and improve joint mobility.

2) Epsom Salts - 2 cups of Epsom salts in a tub of warm water do wonders for arthritis knee pain. Not only is it relaxing but Epsom salts when absorbed in the body causes us to release toxins and excess mineral deposits. Excess mineral deposits in the joints has been linked to one of the causes of arthritis.

3) Omega 3 Oil - Eating fish such as salmon and mackerel has great benefits also. These fish are loaded with omega 3 fatty acids which is known to decrease arthritis inflammation.

These tips can work wonders for your arthritis pain if they are implemented. Remember - Arthritis knee pain did not happen over night so implementing these tips now will help prevent further knee damage later on.

Knee Replacement With Cement Fixation


Having your knee or knees replaced is something that many Americans have to face each year. After having tried other conservative measures, there may be no other choice then to have the procedure done to alleviate the pain once and for all.

Depending on your age, your orthopedic surgeon may determine that having your prosthetic components cemented may be the best option to take. Generally you will find patients over 65 having their knee components cemented in place. Those of you who are younger may be in line for an un-cemented knee replacement.

The advantages of a cemented knee replacement is that you can immediately bear your full bodyweight after surgery. In most cases though you are given instructions to weight bear as tolerated initially on the affected leg.

The dis-advantages of a cemented replacement is if you ever need a knee revision from either excessive wear and tear on the prosthesis or an infection develops, the cement will have to be chipped away during surgery. In doing so causes some further damage to the end of the femur and top of the tibia where the components were fastened.

This is why most cemented knee replacements are completed on older individuals. The physical demands that are placed on the knee are less then the younger patient. it is generally accepted also that they will not outlive the replacement therefore it will not have to be revised.

You as a patient should discuss this option with your orthopedic surgeon prior to surgery so that you have an understanding what procedure the surgeon will use.

You as the patient will not be able to tell physically after the surgery what procedure was used until you start physical rehabilitation. If you are a healthy vibrant babyboomer for instance then more than likely your surgeon will choose to go with an un-cemented replacement. It can also depend on what the surgeon finds when he gets into your knee regarding your bone stock and soft tissue condition surrounding the knee.

Ask your surgeon during your consultation prior to surgery what he will recommend.

Miami Heat: Not a Good Investment


5/2. Those are the current Vegas Line odds on the Miami Heat to win the NBA Championship. That is a pretty stiff number for a team that hasn't made the Finals in the franchise's 17-year history. What I am curious about, however, is the kind of line I can get on a Miami implosion? I think 7/1, and I'm buying.

"Dallas, you're crazy!!!" ? I can see my inbox filling now.

But seriously, just hear me out.

I recognize all of the obvious facts. Shaq is still there. Wade is a top 10, if not top five guard. The Heat had the best record in the East at 59-23 just last season. Hell, they had the second best home record in the NBA at 35-6. I know these things. Stan Van Gundy has done a fabulous job. He's 101-63 in just two seasons with the club. He had a winning record without Shaq. I agree. And Pat Riley can build a winner. He has rearranged the roster. How can this not work?

Well, I'm glad you asked.

Before I begin my argument, I have to preface it with this: The Heat will be in the playoffs. That is a given. They could even make it as the No. 1 seed, who knows? All I am saying is that I wouldn't be surprised to see them out before the Conference Finals. I don't think they will be hoisting the Larry O'Brien Trophy.

If you are planning on laying at 5/2 odds, please listen. First of all, the Heat roster is worse this year than last. And second, the East is vastly improved over last year. These are the two main reasons why I will be abstaining from those odds.

The Heat have definitely taken a step back this offseason. They will not be as good as last year. Most of the starting five remains the same: Shaq, Wade, and Udonis Haslem. It's the point guard and small forward positions that have had to face the turnover. At the point, Damon Jones and Keyon Dooling are OUT, while Jason Williams and Gary Payton are IN. What this means is that Miami got colder and older. Damon Jones was the spark plug of this offense. He provided high energy and was a clutch performer - a very nice combo. His 225 three pointers was good for second in the NBA (Kyle Korver and Quinten Richardson each had 226) and most of those treys came in crunch times for the Heat. Keyon Dooling logged sixteen minutes per game off the bench, while playing in 74 games last season. He was unsigned and is now battling Jameer Nelson for a starting job in Orlando.

The additions of Williams and Payton, on paper, look fantastic ... until you delve a little deeper. J-Will, aka "White Chocolate", is a year older than Jones, but years behind him in discipline. Williams had 32 more turnovers than Jones last season, while playing in 11 fewer games. He is (usually) too busy playing street-ball in his attempt to be on SportsCenter than he is concerned with making the safe, open pass. And Gary Payton is over-the-hill, at best. After 16 seasons, he is no longer performing anywhere near the caliber of a nine-time All-Star. He averaged fewer than 12 points per game last year, for the first time since 1991 (his second year in the league), and his diminished skills are now a defensive liability, where as it used to be his strength. Do not be surprised if he is passed on the depth charts by the natural two-guard, Andre Emmett, and then becomes a distraction.

I am not as critical on the turnover at small forward, but I do not like the looks of things. Eddie Jones and Rasual Butler were team guys. They understood and accepted their roles. Eddie was a natural shooting guard, who took his lumps against bigger men playing the three. He used his natural ability and speed to work around his bigger opponents. He was yet another clutch performer for Miami, hitting 142 threes last season while averaging 13 points per game.

I do not view Butler as a key loss. He was a young guy coming into his own, but is more than replaceable. Antoine Walker and James Posey may be better natural fits to fill the small forward position, but there are injury questions surrounding both of these men. Walker, who is only 29, has bad knees. He had to have his deal re-worked and most likely will not be physically able to fulfill his obligation. His relegation to the sixth man is not something I foresee him enjoying too much. He is a very selfish player who either can be clutch or a major distraction. Shaq should help keep him in line, but there simply will not be enough shots to go around for him to be a factor.

James Posey is a walking trip to the injured list. His hip, shoulder, and foot problems have cut into his minutes each season since 2001. He is better on defense than Walker, or Jones for that matter, but is only good for 10 points per game and is not known for being much of a shooter.

Overall, the Heat lost their top five three-point shooters from last year, leaving Dwayne Wade's 13 three-pointers-made as tops returning. Adding Williams and Walker can lighten that burden, but not enough to fill the 400-plus missing threes. I do not buy into team chemistry as a reason for success and failure. If you have good players, they find a way to win. But I have my doubts here. Payton, Williams and Walker all have their histories. With Shaq's advancing age, fewer minutes and increased days off, this team could be in for a rude awakening this season. And that doesn't even take into consideration the bigger, better East.

(BONUS INFO) Would have been a second point, but I was already at 1000 words.

* If you cant join 'em, beat 'em. Damon Jones was not welcomed back to Miami, so he took his game to Cleveland. He, along with Larry Hughes and Donyell Marshall, teamed up with LeBron, Z, and Drew Gooden to form one of the most talented groups in the Eastern Conference. At 28-1 odds, the Cavaliers will be a much better play to win their division, and would be my bet to go from the East.

* Detroit lost nothing over the off-season, aside from Larry Brown, and at last check, he didn't make one basket last season. Aside from being another year older, the Pistons have the same nucleus of players back, and 10-1 is still a better investment than the Heat.

* A full season of Kidd, Vince Carter and Richard Jefferson suddenly make the Nets a serious competitor in the East. Kidd wants to win and Vince loves the spotlight. If RJ can get back to pre-injury form, the Nets will be back in contention. At 33-1, it isn't a play I would make, but they can compete with the rest of the East.

* Lastly, the Indiana Pacers are back on track. Assuming another fight doesn't break out, Jermaine O'Neal, Ron Artest, Stephen Jackson and company match-up well with the Heat. A perennial playoff team with 8-1 odds is a team that could very easily knock off "The Big Aristotle."

Questions or comments? E-mail dallas@docsports.com.

The views expressed in this article are not necessarily the views of Doc's NBA picks subscription service.

Friday, March 7, 2014

Improving High School Defense Suggestions


Conditioning: Quick step crossing

Reaction is as skill that players need to develop through conditioning and drills. This drill will help players quickly change directions on the field. Start out by placing the player on any crossing lined area on the field, anything like a small for square area. Once a players positions themselves in one of the corners they will proceed to jump from one corner of the area to other in either a patterned function or randomly. Coaches should encourage one foot jumping to increase further strength and reactions on the field.

Constant motion drill to increase ball handling skills

This drill is used to increase player's ball handling skills on the field. Players will move the football from one hand to another hand around differing parts of their body. The drill starts by having players hold the football above their head and start to pass it around their head, moving to the chest, under the arms, around the waist, knees, and completing with passing it through the legs.

In this drill the coaches responsibility is to observe the smoothness of the drill, and to also shout commands of body positions to move the ball around, and also to reverse the direction of the football. This change of motion will keep players from falling asleep, and ensure that you are developing handling skills and not just muscle memory.

At the very end of the drill the players will do several simple drops. The player will drop the ball and quickly pick it up again. They also should rotate which hand they are using to pick it up so that you can increase ball handling with both.

Protecting the football as you run

You can't run with the football until you have learned some basic ball security measures. There is nothing worse than almost getting a first down or even a touchdown and fumbling the ball, for this reason there is a great need for ball security. Basic ball security can be broken down into four steps. The claw position is the first point, meaning that you grab the football clawing at the point of the football with your fingers. The second point is making sure that your forearm is wrapped tightly on the outer rim of the football. Third point is to have the ball held tight against the bicep to prevent defenders from punching up through from behind. Fourth, pull the football up and tight against your ribcage closing the gap on the football from all four sides. Run a couple of drills were the ball carrier runs through a pack of defenders to practice. By reducing the risk of a fumble you will increase the offensive strength in effectively driving across the field and scoring touchdowns.

Practice can help turnovers

The faster your defense is at getting the ball back into the offensive's hands the more likely you are to win a game. Win your games by training your defense to use a strong tackle that strips the ball from the opponent. Practice dislodging the football on the field in pairs of players. The defender will practice stripping the ball by bringing his hands up quickly with a clenched fist to grab the opponent and as he does so to aim to knock out the football. Practice these movements slowly to start muscle memory and to correct bad habits.

Become a Physical Therapy Assistant - Top Four Tips for a Successful Career


Have you always had a flair for helping people? Then you can do even more by becoming a physical therapy assistant. Through this concise guide, you will learn four tips that will not only help you start your career in this field, but will also ensure you of making it a successful one.

Tip # 1) Learn your responsibilities.

You need to understand this job to be able to succeed. You will be asked to perform duties that are similar to those of a physical therapist. This means that you will conduct therapeutic exercises and provide massages. However, because your main duty is to help the physiotherapist, you will be in charge of observing patients and evaluating their progress. Plus, as a physical therapy assistant, you may also perform clerical duties like ordering supplies and completing forms.

Tip # 2) Understand what you, a physical therapist and a physical therapist aid do.

To avoid any mix ups, you should understand the job descriptions of a physical therapist and physical therapist aid. A physical therapist will help patients with therapeutic exercises and massages. He/she will design the patient's rehabilitation therapy and works with him/her for weeks, months or even years. An assistant will be supervised by the therapist while performing treatments. As for an aid, his/her duties differ from those of a physical therapy assistant. An aid helps in making therapy sessions more productive, keeps the treatment area clean, and prepares the patient for therapy. An aid is also supervised by the physiotherapist, but he/she may report to the assistant.

Tip # 3) Choose the right training for you.

Choosing the right training program is one of the factors that can affect your employment chances and expected salary. You need to enroll in an associate's degree in physical therapist assisting to be allowed to practice. However, make sure that the program is an accredited physical therapy assistant program. Call the institute offering this training and ask whether it is accredited or not. Also, make sure that your curriculum includes basic medical sciences and other general education courses.

Tip # 4) Ask around for your state's licensing requirements.

In most states, all you need to start practicing as a physiotherapist's assistant is an associate's degree from an accredited program. However, you should always check whether your state requires that you have a specific license to practice. At most, you may have to sit for a state examination, earn a CPR and First Aid certificate, and complete a physical therapy assistant internship.

With these tips, your career as a physical therapy assistant is going to be smoothly paved out for you.

Knee Replacement Surgery - When is it Time to Have It?


Knee replacement surgery is typically performed for individuals who have severe osteoarthritis also known as arthritis in the general community. The surgery replaces the joint surfaces of the knee that have been affected by arthritis therefore allowing the individual to walk and move about with less pain and have better function.

In making the decision about knee replacement surgery, a number of factors need to be taken into consideration.

Quality of Life

If your knee arthritis is significantly affecting your quality of life, you should seriously consider having a knee replacement. The inability to get out and about in your later years not only affects your mental health and attitude but it also impacts on the progression or development of other diseases such as diabetes, heart disease and high blood pressure.

Disability

This factor should be considered in conjunction with an individual's quality of life. Specific things to consider include: Significant pain at night keeping you awake A lot of difficulty with climbing stairs Walking distance is significantly limited Difficulty with bending your knee to put your shoes and shocks on or cutting toenails

Amount of Pain

In the early stages of arthritis, medications such as simple paracetamol or anti-inflammatories work well in controlling the pain of arthritis.

However, as time progresses, medication may not work as effectively. If the pain of knee arthritis is unrelieved by medication, it may be time to consider having a knee replacement surgery.

The time for knee replacement surgery varies depending upon the individual. The individuals overall health needs to be taken into consideration, the specific symptoms experienced due to the knee arthritis as well as the individuals stage of life.

A good outcome is experienced in around 95% of cases. An individual usually requires rehabilitation after surgery for around 6 weeks in order to improve their muscle strength and to ensure good movement of the knee that has been replaced.

Discounting Fees - How Low Will You Go?


How Low Will You Go?

In today's marketplace, most speakers are willing to negotiate their fees. Some drastically! Speakers who used to hold firm now waver.

It's almost always a mistake. Whether it's for a non profit organization or not, you are not a human charity. When an organization said to a colleague of mine "You understand we're a non profit organization", she replied, "Yes. And you understand I am not."

Some organizations persuade a speaker to knock down their fee to almost nothing and when the speaker is finally on hands and knees, say "Great. We'll send you out a request for proposal and we'll let you know at the end of the month." Well, now we know who's in the driver's seat and it's not you!

How has it come to this? What on earth has happened to this industry?

Speakers love to speak and that makes them vulnerable both to scams promising pie in the sky and also to unpaid or low paid gigs with the tantalizing prospect of possible future gigs. "But we'll get you in front of 500 executives who could hire you." Really? Forgive my scepticism. Occasionally, it's legit. Mostly, it isn't.

It's a meeting planners' job to organize a convention on as tight a budget as possible. It's your job to be aware of the lasting value you bring to your clients and what you bring to the table. It's also your job to stick to your fee.

The time to say yes is when you're just beginning to build your client list. The time to say no is when you have a solid client list and testimonials.

As Dr. Charles Petty so memorably said "I'm a speaker, not a beggar." Stick to your fee. You hurt your reputation and the whole speaking industry when you don't. This market will soon turn around. Organizations will soon understand that when they want the best, they'll have to book ahead and pay at least 50% in advance to hold the date. You do get what you pay for!

In the meantime, bump up your marketing package and preserve your branding and look for bookings in industries and countries that are doing well.

I'd love your feedback on this - have you found a creative way to handle the issue?

Have you caved in and regretted it? Have you said no and regretted it? What have you learned from the process?

Knee Manipulation After a Total Knee Replacement


After you have had your knee replacement surgery, you enter a physical therapy program almost immediately to begin the process of gaining adequate range of motion with your knee. In most cases the range of motion to strive for is 125 degrees of flexion and 0 degrees of extension at the end of your rehabilitation, Of course these numbers will differ from patient to patient.

Knee manipulation is a procedure used to obtain a more productive range of motion for your knee if your physical rehabilitation efforts have not worked. During physical therapy your goal should be to have at least 90 degrees or more of knee flexion in two weeks. Lack of functional knee flexion is the reason most receive a manipulation to begin with.

Lack of using adequate pain control after surgery can be a reason someone will under achieve in their physical therapy program. If you are in constant pain you will not put in the effort needed to get your knee to bend and extend sufficiently. If your are not getting at least 90 degrees of range of motion within two weeks your surgeon may consider manipulation as an option after your initial office visit.

Excessive scar formation is a problem with some patients for several reasons. Either from not being as aggressive as they should be with their physical therapy or in many case patients they have prolonged the knee replacement surgery to begin with has allowed their body to build adhesions throughout their knee causing poor results in gaining motion during rehabilitation.

In some cases implant mal positioning can be a cause. In this case your surgeon may try manipulation to correct your lack of mobility in the knee initially however, if the implant is too far out of alignment than a new prosthesis will have to be inserted. Some of these problems can be avoided today by having a computer assisted total knee replacement.

If manipulation has been considered and recommended by your orthopedic surgeon than you are given an appointment to report back to the hospital and under anesthesia, your knee is manipulated. This is best performed within 4 to 12 weeks from the date of surgery. Manipulation is not a delicate procedure. Your surgeon who is trained in this procedure uses great care as not to injure the knee joint. In the osteoporotic patient your surgeon has to be careful for instance not to cause a fracture around the implant.

Surgical removal of excessive scar formation is also an option however the results have not been very good.

You are sent home the same day of the procedure. You are then started back on an aggressive physical therapy program.

Make sure once you get back home and continue with rehabilitation or continue at an outpatient facility, that you put your best effort into maintaining and advancing your knee mobility.

How Joint Injections Help Athletes


Joint injections are common procedures in medicine where medications are injected into the joint space. This procedure is uncommon in younger athletes, due to their normal and healthy joint functions. However, this is one of the most reliable methods of managing degenerative arthritis or osteoarthritis in many older athletes.

Benefits of joint injections

The procedure is given to treat inflammatory joint issues such as gout, rheumatoid arthritis, tendonitis, psoriatic arthritis, bursitis and sometimes osteoarthritis. Corticosteroids are used for this medical procedure because of its anti-inflammatory capability as well as its ability to slow down the build-up of cells which causes the inflammation in the joint space. If present, joint fluid will be aspirated or removed prior to joint injection. This also eases the pain and swelling of the join and helps in the diagnosis of joint pathology.

While corticosteroids may successfully relieve osteoarthritis, the mode of action as to whether this will aggravate or alleviate the issue is unclear. In many knee-joint injection procedures, Hyanluronic acid, a viscous lubricating substance, is commonly used to relieve the symptoms of osteoarthritis of the knee.

What Comprises Joint Injection Medications

The anti-inflammatory medication corticosteroid is mostly utilized in this procedure. Cortisone is a kind of steroid that it naturally produced by the body and released when you are under stress. Injectable cortisone is synthetically produced and it's a close derivative of the natural cortisone. Unlike natural cortisone, corticosteroids are injected to specific inflamed areas instead of being released into the bloodstream. This synthetic cortisone is also more potent and provides relief for a long period of time.

Apart from synthetic cortisone, a lubricant such as hyaluronic acid injections works to lessen the inflammation and lubricate the affected joint. It helps the joint lining to produce substances to feed the joint cartilage. This actually helps in early arthritis can is effective up to 6 months. Patients are given joint injections once a week for the next three to five weeks and this process maybe repeated after six months if needed.

Which joints are injected?

The most commonly injected joints are the ankle, knee, shoulders, elbows, wrists as well as the small joints of the hands and feet. You may need an x-ray called fluoroscopy to guide hip-joint injections.

Unlike oral steroids which are mostly abused and misused by athletes, joint injections using corticosteroids can lessen healing time and help lessen pain and inflammation. This procedure is mainly used to treat inflammation of the joints in sports injuries and aging athletes with their arthritis. Despite its many benefits, injection and these steroids also have corresponding side effects depending on the amount and location of the joint injection as well as the condition of the patient.

Thursday, March 6, 2014

My Teenager Wants To Drive


Isn’t it amazing how fast our children grow up right before our eyes and yet sometimes we don’t even notice?

The early grade years seem to rush by all too quickly, and suddenly your little angel is transformed into a teenager. We all hope as parents that the time and patience that we have invested in our children while they were young, trying to guide them through life, hasn’t all suddenly gone out the window as soon as puberty walked through the door.

Teenagers have their own pressures to deal with and it sometimes feels like Moms and Dads just don’t have a clue about what they are going through.

For example the trend that seems to be going around at the moment with a lot of young people is, it’s cool to wear your pants down around the back of your knees and nearly trip over when you walk. Hey! I don’t knock it. I used to think it was cool to walk around in those bell bottom trousers, so who am I to talk. We as parents sometimes think that we are prepared to handle just about any situation that our teenagers are going to face. Besides, we were teenagers once. Right?

So are we as parents prepared for that question when it eventually comes?

Mom, Dad, can you teach me how to drive?

I have to say here folks. I have seen a lot of Moms and Dads driving and let me tell you. I would question whether Mom and Dad should teach son / daughter how to drive at all. So, here is a question to all of you parents who have managed to stay with me this far. Are you ready to teach your teenager to drive? Now lets be honest here. Do you think that you are a good driver? Do you think that you set a good example for your teenager, or anyone for that matter when you are behind the wheel?

The reason is that if Mom or Dad’s driving habits aren’t the best. What then do you expect to teach your teenager? If you are going to teach someone how to drive, the first thing that I would recommend you do, is sign up for a defensive driving course if you haven’t completed one for a while.

I recommend this because anyone can be a good driver, but bad habits have a way of creeping up on us and sticking. You don’t even realize it. So for the sake of your teenagers introduction to driving, why not give them the best possible start by tweaking your own driving habits.
There are a couple of good courses here that will help you on your way. See if you can find one that suits you and your timetable. [http://www.driving-defensive.com/defensivedriving.html]

Remember that completing one of these courses not only helps your son / daughter. It also helps Mom and Dad to identify any areas of driving that need addressing. It’s a win win situation. Now, back to teaching your teenager. This is going to take a lot of planning for you to be able to teach them effectively and safely. Here is a tip. Teach them one driving skill at a time whenever you have a lesson. It may be reversing, parking. You may want to teach them moving off skills. I have written some guidelines called defensive driving for parents which will help you organize lesson plans. Read this section carefully. It will help.

[http://www.driving-defensive.com/DefensiveDrivingforParents.html]

When teaching someone to drive, be prepared to nurture and guide them, and be patient. Don’t expect miracles and you won’t be disappointed. Teaching someone how to drive takes special skills. Have a look at the following questions and decide. Can I indeed teach my teenager how to drive? You will know the answer to that question after you answer these.

Am I a good example of how I want my teenager to drive?

Do I want my teenager to have the best possible driving tuition?

Can I stay calm when they don’t pick things up as quickly as I would like.

Am I the type of person who gets anxious when other people are driving?

Do I have the ability to guide my son / daughter through a potentially dangerous situation on the road using my voice?

Do I have the time that it takes to nurture and guide them?

Can I plan, the lessons as set out in the defensive driving for parents section?

Will I yell and lose my temper?

After reading and answering these questions, you should have no doubt whatsoever as to what you should now do when your teenager asks: Mom, Dad, can you teach me how to drive today? You and you alone know what the answer will be to that question.

Defensive driving saves lives, that’s a well known fact. Let’s use that knowledge and allow our teenagers the benefit of learning these new techniques and teach them how to drive to survive.

Happy Motoring

Timoti Petera

5 Top Pain-Relieving Exercises for Arthritis


Now I must say before starting any exercise plan you should always consult with your physician. Your physician will know what is best for you and your specific arthritis symptoms. With that being said let's get started...

When you suffer from arthritis pain it sometimes can be difficult just to get up out of your chair or use your hands, so it's no surprise that you would be more likely to just not do anything. However, moving your body is exactly what you really need. Exercise is actually the best medicine for your arthritis pain relief. I know it's hard to believe but exercise can decrease your pain, especially those that are suffering from osteoarthritis which is the most common type of arthritis stated in many medical journals & publications. It's a fact that exercise such as walking is as effective in reducing knee pain as drugs used to relieve this type of pain such as naproxen (Aleve) or ibuprofen (Advil). For me, Yoga, Tai Chi and walking gave me more relief than any drugs prescribed to relieve me of my pain.

I can confirm that exercise works because I suffer from osteoarthritis and severe knee pain. When you workout regularly it also may prevent the arthritis you have from getting worse over time. When you're physically active you will have a higher quality of life and find you're less likely to become disabled or have days with a lot of pain! Now that I have your attention and you may be more motivated to get up and exercise, do you need another reason to get up and get moving? Well, obesity can increase your risk of arthritis and make your symptoms worse.

Your workout should be challenging, but not painful enough to cause you injury. If you have a joint or muscle pain that lasts longer than a couple of hours after you've exercised or if the pain gets worse over a course of several days, you've probably over exercised! At this point, you want to shorten your workout or do the exercise at less of an impact. Most workout programs have a "low impact" version of all the exercises in the program.

So, you're probably asking what exercises should you do? It's important that you move your joints but you don't want to aggravate your symptoms. Here are the 5 exercises that I found to help me the most in relieving my arthritis pain and improved my quality of life physically.

1. Walking- This type of exercise strengthens your muscles, which helps when pressure shifted from your joints, and reduces pain. It also compresses and releases cartilage in your knees, bringing nourishing oxygen to your joints. It's my recommendation to try walking 10-12 minutes at least 3-5 days per week. You can always increase your walks and add short bursts of speed into a moderate pace to build up your workout. Keep in mind, people with severe hip or knee problems should check with their doctor before starting a walking program.

2. Water Exercise- It has been found that warm water (83-90 degrees) will help relax your muscles and decrease pain. Exercises involving swimming, aerobics, walking and jogging in water is a great way to relieve stiff, sore joints and is of lower impact as well. Working out in water has other benefits such as relieving stress on your hips, knees and spine plus it offers you a workout with resistance but without the use of weights. This form of exercise is ideal for those of you that have severe arthritis pain in your hips and knees. This is the exercise program I started with first due to my severe knee pain. Water is stated to provide 12 times the resistance of air, so you will really be strengthening and building muscle with this type of workout!

3. Yoga- Uses simple, gentle movements that gradually build strength, balance and flexibility. Yoga is especially beneficial for people with arthritis. It can also reduce inflammation, increase your energy, promote a positive mental outlook which will help you cope with arthritis. Be sure to let the Yoga instructor know that you have arthritis so the poses can be modified to accommodate you. If your more comfortable exercising at home there are many companies and instructors that have Yoga videos or books. Remember that if you feel pain in a pose, you're probably overdoing it!

4. Tai Chi- Is a traditional style of Chinese martial arts that goes back to ancient times. It incorporates slow, rhythmic movements to induce mental relaxation and improves balance, strength and flexibility. Tai Chi is extremely valuable to arthritis patients because its movements are slow, controlled and low impact. Tai Chi like Yoga improves mental well-being, life satisfaction and your perception of health, which can help you with the negative effects of chronic pain. There are particular benefits for those that suffer from knee pain. It has been found in major studies that Chinese workouts can improve physical function and reduce pain in patients over 65 years old with knee osteoarthritis. There are many books and courses in this ancient Chinese workout however, the Arthritis Foundation offers a 12-Step Tai Chi course. Keep in mind that it's always best to workout when you have the least pain and stiffness so, often Tai Chi is done in the morning.

5. Indoor Cycling- Is an excellent way to get a cardio workout without stressing weight-bearing joints. Investing in a good stationary bike is also a good option for people that have balance problems which is common among inactive people with arthritis. Try not to pedal faster than 40-50 revolutions per minute and add resistance only after you've warmed up for about 5 minutes. You should never add too much resistance which causes you to have trouble pedaling. A good place to start with cycling is to start a 5 minute session at a comfortable pace 3 times per day. When you get to the point where you're cycling pain-free, increase your workout to 7 minutes and continue to ramp up until you hit the 20 minute mark. Those of you that have severe pain in your knees should avoid indoor cycling because it can aggravate the condition. Remember to "listen" to your body and what it's telling you.

I hope this article has helped you and please remember to always consult with your physician before starting any exercise plan. Your physician can also prescribe medications to relieve arthritis pain and swelling so you can workout.

Tips For Avoiding and Fixing Runners Knee


Runners knee or Illiotibial Band Syndrome takes its toll on many runners. Unfortunately, the lack of information on how to deal with this problem before it happens causes it to last far longer than it should, or to develop into a reoccurring problem.

What is it?  

Runners knee is a condition in which a sharp, burning pain manifests in the knee or the hip. It occurs when there is irritation to the illiotibial band, or IT Band, a band of fibrous tissue that runs from the hip, along the outside of the shin bone to just below the knee joint. Its function is both to provide stability to the knee and to assist in flexion of the knee joint. When irritated or inflamed, it does not glide smoothly and movement of the knee joint becomes painful. Usually the pain worsens with continued movement.

Over-training is said to be the most common cause, but running on a banked surface, inadequate warm-up or cool-down, or certain physical abnormalities may also contribute.  

As usual we here in America tend to focus on what is to be done after a problem occurs instead of taking a few moments to learn about our sport and take some preventative measures. So how about putting in a little bit of work on the IT band to keep it supple and flexible? Why wait until you have a problem that will take you out of the running loop for up to a month and make you reduce your mileage drastically? I would tend to disagree that overuse is the main cause. This is a half truth. The correct way to state this would be that overuse without the proper foundations is the leading cause of runners knee. You can run 50 miles without training and if you have worked on the IT Band, it will not act up! 

Foam Rolling is one of the best and fastest ways to keep the IT Band healthy, flexible and supple. If you are an avid runner, this should be one of the cornerstones of your routine. Foam Rolling the IT Band helps to keep the knots and kinks worked out and is a tremendous aid in keeping it flexible. If you have had problems with the IT Band in the past, this is a godsend. Also, try to incorporate a good stretching routine into your activities. 

Staying Healthy:

If indeed you do end up with runners knee, you have got to rest it. If you rush back to running, you'll never break the injury cycle. Patience is tough, but is required. When you do start back running, reduce your miles and ice your knee frequently to reduce the inflammation. Work in light stretching and foam rolling when pain does not force you to stop. It is possible to keep running, but cut your run short as soon as you begin to feel any pain. Reduce the amount of hill work you do until recovery is complete. To learn more about the fitness and nutritional program I developed that incorporates all of these essential factors for health and wellness, please visit: http://www.dynamicsofmotion.com

Knee Braces For Running - Support For Really Hurt, Bad, Or Just Plain Aching Knees - Pain Relief


Your Knees & Running

Your knees take the brunt of the force that comes from the impact of running. Whether you are an avid runner, or like to casually enjoy the sport, you may have experienced discomfort or pain in your knees.

1.) A Well Designed Knee Brace

Any runner is aware of the constant stress that is placed on the knees and the injuries that can keep you from your favorite pastime. As a result, you may be looking right now for a way to address your pain so that you can continue on with running. A well designed knee brace can help support your knee while running and can help greatly reduce your knee pain. These supports do not have to be astronomically priced, and can be the answer that you are looking for.

Runners have unique needs when it comes to knee braces. Not only does the brace need to be low profile, but it also needs to address common knee issues. Our advice is that you should not just focus on the sport of running, although this is important. We suggest that you should think about your knee injury first, and second comes the sport of running. (After speaking with your physician, you will know what your knee injury level is)

2.) A Running Knee Brace

Often times people will get confused, thinking that there is just one kind of running knee brace, when in actuality there are many that primarily focus on the severity of your knee pain or knee injury. Usually, runners will complain of pain from a form of arthritis, meniscus, or ligament injury.

For example, osteoarthritis can prevent your knee from being in proper alignment. The pain from this malalignment can be especially noticeable when you run. OA (osteoarthritis) knee supports can help this issue by maintaining proper knee alignment.

3.) Injury Types

Meniscus injuries are also common problems for runners, as well as injuring your ACL (anterior cruciate ligament), or MCL (Medial collateral ligament). Injuring your ACL, MCL, or meniscus can be very painful, and usually requires a good running knee brace to help promote healing. Most likely, if you have one of these knee injuries, you will need a knee brace that has a hinge, as well as medial and lateral uprights. These will help prevent excessive side to side movements that can be painful. A well designed knee support can help prevent any future damage or tearing from occurring as well.

4.) Custom vs. Non-custom Bracing

Non-custom knee braces for running can provide exceptional support as well. Sometimes people think that the only knee brace that will serve them is a custom one. We are here to tell you that this is not always the case. Usually, the only time you will need a custom knee brace is if you do not have normal knee anatomy. This is usually not a problem for most people. The biggest difference between custom and non-custom knee braces is usually the price. Non-custom supports can serve you well without costing you an arm and a leg (ie. you can several hundred dollars with non custom knee braces).

Stop My Divorce and Save My Marriage


Stop my divorce! If you are going through a difficult time in your marriage and you still have some hope, it's never too late, plead to God- "stop my divorce," and He shall make a way. The Lord declares "Ask and it will be given to you; seek and you will find; knock and the door will be opened to you. - Matthew 7:7

If there is something God disapproves of, it's divorce. He despises the word Divorce. For many of you who made a covenant before God and received His blessing over your marriage then you really have some thinking to do before breaking off your marriage.

Have you gotten on your knees and asked God restore your marriage? Have you asked God to change the areas in you that are affecting the marriage? Have you seek professional Christian counseling? Have you thoroughly thought about ending your marriage?

If you answered No to at least two of the questions above then start to find someone to help you, "stop my divorce!"

Begin to seek God and beg him for a revival in your relationship with God and then your marriage. Commence to communicate with your spouse, that you really want to save your marriage. Express to your spouse that you have been praying over your marriage and waiting on God. This will allow your spouse to see that you're depending on God and not making decisions based on emotions only.

God wants us to solely depend on him. He wants us to count on him no matter what. When times are tough it becomes difficult to trust God and seek him. The devil finds this opportunity to destroy and devour what already belongs to God. When times are tough begin to seek God with all your heart, He wants a relationship with you. God is our true counselor; he heals the broken hearted and binds up their wounds. - Psalm 147:3

In order to love and truly forgive we have to allow God to work in our life. Make him the Lord of your life, build a relationship with him and He shall direct your paths. You will truly learn to love and forgive through Christ Jesus. For God so loved the world, that he gave his only begotten Son, that whosoever believe in him should not perish, but have everlasting life. -John 3:16 Receive God's love and you shall learn to love spouse as He loves us.

If you truly surrender to God today he will make a way- to save you marriage. Declare- stop my divorce in the name of Jesus and it shall be!

Training Female Athletes - The Keys To Designing a Successful Conditioning Program


It is time that we, (the educators, teachers, parents and coaches) of female athletes all understand and accept the fact that female athletes are different from male athletes and these differences require a female athlete to train differently from boys/men. Female athletes are different in stature, muscle strength and have joint issues different from their male counterparts. This does not make female athletes weaker mentally or physically in any way. In fact, a female athlete's unique anatomy and biological makeup makes them more conducive and more successful than boys/men in certain sports and activities.

It is also time to get away from the practice of female athletes using the men's conditioning programs and protocols. Girls/women deserve more time and attention given to their conditioning programs and we all must work to erase the myths, stereotypes, social pressures and negative attitudes associated with the practice of strength training. Coaches of female athletes may need to educate themselves on how to design a strength and conditioning program for their female athletes and stress the importance of continuing a program over a period of weeks, months and years. Studies have shown that women do not adhere to a strength training program as much in comparison to men.

When I talk about strength and conditioning, I am not recommending that an athlete join a health club, spend a lot of money, train on exercise machines or buy big and bulky pieces of equipment for their basement. It is important to point out that female athletes can train at home or in a comfortable environment with a minimal amount of equipment and space. Using an airball, dumbbells, tubing bands or just your body weight, can be effective training aids in delivering a great workout for an athlete with little or no dent to the pocket book.

Listed below are the keys to developing a proper strength and conditioning program for female athletes. This is what the female athlete should be doing!

1. As a young girl just starting out in sports or physical activities, training should focus on sport movement, sport strength and sport balance. In other words learn how to move efficiently within your sport. Work on basic movement skills and the fundamental skills in your sport. Learn how to stop and start, cut, twist or turn. Girls need to learn to move more like tennis players. Tennis players stay forward on the balls of the feet, taking lots of little steps. They stay in an athletic stance, ready to move, pivoting on the front of the foot, with the knees bent. It is also important to keep the knees over the toes. Emphasize lateral and rotational movement patterns. Perform agility drills to teach change of direction while staying low in an athletic stance with knees flexed. Strength training must be sport specific, whole-body and multi-joint. The hip, the foot, the trunk and the shoulders all control the knee. Start with body weight exercises before adding external resistance and balance training needs to be incorporated into the conditioning program. Keep training fun. This is like a training for training period.

2. At a young age, girls should learn how to jump and land to prevent injuries, in particular anterior cruciate ligament (ACL) knee injuries. It is extremely important to have controlled, quality landings and soft landings from a jump, land like a feather, not wobbly knees or hard, loud landings. Land on the balls of the feet with knees flexed and ankles bent to absorb the force. It is important for coaches to teach and monitor how a girl handles a jump.

3. At a young age, girls should learn how to run properly. Coaches should teach the proper form, biomechanics and foot strike technique. This will contribute to a smooth, efficient motion and help prevent injuries in particular overuse injuries to the knee, hip, back, foot and ankle.

4. Stress the importance of wearing the proper shoes when strength training and in practices and games. Women are more flat-footed and knock-kneed so it is critical their shoes or insoles address these issues.

5. It would be ideal for a girl/woman to start a strength and conditioning program at least before junior high if they plan to compete and be successful at the high school or college level in their sport. The training should be year round with the proper amount of rest periods incorporated into the yearly training cycle. High school female athletes most definitely should be strength training year round.

6. A strength training and conditioning program should focus on exercises that strengthen the knee joint to help prevent ACL injuries. The quadriceps, especially the vastus medialis and more importantly, the hamstrings, which is normally much weaker in strength in comparison to the quadriceps in women. Also strengthen the abductors and adductors.

7. Focus on core strength. This does not mean training for appearance by getting a six pack. What I mean is training the chest, abdominals and upper and lower back and hip areas. These are problem areas for many female athletes. Train the core from a standing position, this is more functional and more sport specific. If you are ever pressed for time and can only do a few exercises, do core work.

8. If the sport requires a good deal of throwing motions, train the rotator cuff muscles in the shoulder joint. Also work the upper back muscles, the rhomboids, which help stabilize the scapula and takes stress off the shoulder joint and musculature.

9. Train in a functional manner. Most of the exercises in the training program should be closed chain, (standing, feet on the floor) which incorporates balance, coordination, agility and proprioception into each movement. Get off the machines and move freely with multi-joint and multi-planar exercises.

10. Stress proper nutrition and hydration at a young age. We are seeing osteoporosis in individuals at younger and younger ages each year. I highly recommend that female athletes and their parents meet with a Nutritionist/Dietician to ensure that the female athlete is getting the proper nutrition on a daily basis in relation to her activity level. It is safe to say that all female athletes could benefit from a daily multi-vitamin.

11. When a female athlete is maturing (12-13 years of age), training emphasis should shift from training for athleticism as a youth, to training to enhance locomotion, level changes, push pull movements and rotation. If an athlete has a strength training history and has developed a good strength and flexibility base, the athlete can then incorporate more advanced forms of training into their program. For example, more advanced plyometric training, training for speed, power and explosiveness and power training with the Olympic lifts. This is a training to compete period.

Athletes, please consult your physician before starting any new exercise program.

Wednesday, March 5, 2014

Orthobiologics and Orthopaedic Medicine - Exploring Orthobiologic Treatments for Knee Osteoarthritis


Orthobiologics is a relatively new area of study that has captured the interest of orthopaedic surgeons in their effort to find ways to facilitate the body's healing process. Orthobiologics is a dynamic scientific field with new developments and discoveries attracting ongoing interest. Orthobiologics involves scientific interventions and treatments which use the body's own growth factors and proteins to help muscles, tissues, ligaments, tendons and bones heal more quickly.

There are several different orthobiological treatments currently used by orthopaedic surgeons. Three orthobiological treatments used to treat knee osteoarthritis include:


  • Platelet Rich Plasma (PRP),

  • Autologous Cartilage Implantation, and

  • Bone Marrow Simulation

What is Platelet Rich Plasma (PRP)?

Platelet rich plasma (PRP) is blood plasma that is enriched with additional platelets. Platelets release proteins called growth factors which speed up tissue regeneration, repair and healing. Growth factors are important in part because they facilitate a process called "chemoattraction" which draws stem cells to the location of the injury. PRP production involves several different steps.


  1. Blood is drawn from the patient peripherally.

  2. The blood is placed in the centrifuge to separate the plasma from the platelets.

  3. This is injected into the injury site.

PRP is currently used in a variety of orthopaedic medical treatments including osteoarthritis, plantar fasciitis and tendinitis. A recent article published by the American Journal of Sports Medicine stated that PRP decreases NFkB which is a major enzyme in the pathway of the formation of osteoarthritis.

What is Autologous Cartilage Implantation?

When the articular cartilage is damaged in the knee, exposed nerve endings can cause significant pain and eventually lead to osteoarthritis. Autologous cartilage implantation is a type of transplantation that takes either donor articular cartilage cells or the patient's own cartilage. Cultured autologous cartilage cells are used in order to promote growth in cartilage damage and repair the cartilage.

For the treatment of osteoarthritis in the knee, the cartilage is transplanted in the arthritic area of the knee. A recent article in the Journal of Bone and Joint Surgery noted that long term follow up data of 7 to 10 years suggests good to excellent results.

What is Bone Marrow Stimulation?

Bone marrow stimulation is an orthopaedic surgical technique used to help repair cartilage in the knee. Bone marrow stimulation is a treatment for cartilage injuries and degenerative problems in the knee.

Bone marrow stimulation is a surgical procedure where multiple drill holes are placed into the area of arthritis in the knee. The body's own stem cells invade that region producing fibrocartilage which is a scar tissue like cartilage. This type of transplantation has decreased results over time whereas the autologous transplantation has better longevity.

Orthobiologics Offer Promising Future

Orthobiological treatments offer a promising future to an orthopaedic surgeon who treats degenerative conditions like osteoarthritis of the knee and osteoporosis. Further research and new treatments are currently being explored and new advancements in orthobiologics are continually introduced. One of the latest innovations includes liquid allografts or so called bone glues that mend bone fractures while supporting the healing process.

How to Avoid Hip Replacement Surgery for Hip Arthritis


Millions of Americans live each day with hip arthritis. It can cause significant pain and disability with problems walking depending on how severe the problem is.

Interestingly enough, the person may have severe arthritis on an x-ray and not have a lot of discomfort from it. O that same person also may have very little abnormality on x-ray and have severe pain. Regardless of this nuance, how can a person avoid hip replacement surgery when dealing with significant arthritis pain?

There are several avenues of treatment which can allow patients to avoid surgery and here are the top three.

1. Activity avoidance-activity avoidance is a treatment that basically involves ceasing activities that flare up a person's pain. For instance, if an individual is an avid skier, it places severe stress across a person's hip joint. The same is true for a person who is an avid jogger.

Unfortunately, it may be necessary to switch activities into something like cycling or swimming in order to maintain the cardiovascular benefits but to take such pressure off of the hip joint. Every time a person runs, forces between two and six times body weight go through each hip joint. In a hip that has significant arthritis, this may exacerbate the situation dramatically.

2. Medications- over-the-counter medications such as Tylenol and anti-inflammatory medications can help with hip arthritis substantially. Care should be taken to only take the medication according to the manufactures recommended dosing. For Tylenol, this is usually no more than 4 g per day otherwise the patient can develop a liver problem.

Good old anti-inflammatories such as ibuprofen can help a lot and if a person has normal kidney and G.I. function they can be taken according to the manufacturers recommended dosing. Other medications that are over the counter include glucosamine and chondroitin sulfate.

These are called nutraceuticals and are sold at health food stores and drugstores without a prescription. They consist of natural substances that can help preserve existing cartilage and may even help promote some regeneration of lost cartilage. At any rate the risk profile of these nutritional substances is very safe.

Taking narcotic medications for hip arthritis is a bad idea for a chronic time period. Taking it for an acute flareup of arthritis can be fine and may be necessary if a person has a fall or simply is disabled from the acute flareup of the pain and narcotics and help get them through it.

3. Injections - There are multiple types of injections that can be done for hip arthritis. The first is steroid injections, and these have been around for decades. They do not fix hip arthritis and may even make it worse, at least in animal studies that has been seen.

But they can delay the need for hip replacement and also can be repeated every few months. They should not be done in an office setting, as the injections require a real time x-ray machine called fluoroscopy. There is a lot of soft tissue between the skin and the hip joint, and some vital structures. So it is important to do the injection safely.

Another material that can be injected instead of steroid is hyaluronic acid. This can help regenerate some joint fluid as it is a component of the fluid anyway and it can promote more fluid being made. Lastly, stem cell injections are making their way into arthritis treatment. It's exciting, and research will show their effectiveness.

Hip replacements are quality of life procedures, and if at all possible should be avoided.

Dealing With a Hurt Knee - Running Problems - Improve Your Stability and Reduce Your Pain


A hurt knee running outdoors is a common injury. While running outdoors offers you excellent health benefits in addition to the wonderful feeling of the wind in your face, it is also an activity that is prone to the most hurt knees. If you get a hurt knee while running, there are several different treatment plans that you can follow.

The treatment options that you choose will depend on the immediate cause of the hurt knee:

Is it a Torn Ligament?

Very often, a hurt knee form running is brought on by a torn ligament. While this is a common problem amongst runners, it is certainly not something that should be a life sentence for you! Your physician may only tell you to rest your knee. Sometimes surgery is unavoidable and you can also use a well designed knee support for a conservative approach, when possible.

Do you have Osteoarthritis of the Knee?

Although not life threatening, this is an incurable condition and is usually treated by a doctor with the use of non steroidal anti-inflammatory drugs (speak with your physician about your particular situation). These drugs can help contain the swelling that is usually associated with osteoarthritis of the knee. Unlike a torn ligament, which calls for a period of rest, if the knee pain is due to osteoarthritis it is sometimes far better to keep moving and exercising to prevent the knee from becoming rigid. Wearing a knee brace while moving will support your knees and help you to maintain proper alignment; thus staving off the pain and rapid degeneration of the knee. (Remember to speak with your physician about your activity levels.)

Is it Due to Rheumatoid Arthritis?

If you get a hurt knee running, it can also be a sign of rheumatoid arthritis. This is also an incurable condition that can affect anyone, including children. It usually presents with pain and swelling and in some cases, a fever. This is an auto immune disorder and is different than other types of arthritis. However, you do not have to just sit there and succumb to the numbing pain of rheumatoid arthritis. Your doctors can prescribe some medication to help manage the pain and a knee brace can help keep you well supported and mobile.

When to Seek Knee Surgery

If you are consistently bothered by knee trouble, you may be a candidate for knee surgery. However, knee surgery should only be attempted when all conservative methods of treating the knee have failed. Using over the counter medication, anti-inflammatory drugs and even a knee brace can help keep your knee feeling fine and can sometimes even prevent you getting a hurt knee running or walking.

Many cases of a hurt knee are the result of a torn ligament. To protect your knees whilst running, you should wear a knee brace and also make sure you warm up sufficiently so that your joints are warm and limber before you set out at full throttle.

Arthritis Knee Pain - Joint Pain Causes


Understanding what causes joint pain is important as it helps you to be better able to prevent and lesson joint pains. Fortunately there are many joint pain relief treatments to enable you to lead a normal life and to enjoy everyday activities, and depending on the cause of the pain, relief can be either temporary or permanent.

Joint pain causes can vary, and can be related to many conditions other than Arthritis. Our joints are cushioned by cartilage and supported by muscles, tendons and ligaments. Everyday activity, aging, injury, obesity and repetitive motion all place stress on the joints and will ultimately cause the supporting structures to wear down over time. Common causes include unusual exertion or overuse of joints including strains or sprains, injury (including fracture), Gout (especially found in the big toe), Tendonitis, Bursitis and Lupus. Causes can also include infectious diseases such as Influenza, Measles, Rheumatic Fever, Hepatitis, German Measles and Chickenpox. When joint pains strike, sufferers are often thrown off balance and made to change their daily routine because of the nature of the pains. Adopting proper health and diet routines can also help delay the need to look for joint pain relief.

Let's look at joint pain causes as they directly relate to Arthritis.

Arthritis is an inflammation of one or more joints caused by wear and tear, injury or any infection. There are over 100 different types of Arthritis - all cause pain and swelling and limit movement in joints and connective tissue. This inflamed condition of the joints is mostly seen in the elderly people. It comes from two Greek words, athron meaning joints and itis meaning inflammation. It affects almost half of the population of the world and, in the United States alone, approximately 50 million people suffer from one type of arthritis. Arthritis is more common than cancer and heart problems although does not have the level of fatalities associated with these conditions.

Osteoarthritis, the most common joint disorder, results from the loss of bone tissue from the joints and is also known as "wear and tear" Arthritis. Osteoarthritis involves growth of bone spurs and degeneration of cartilage at a joint. The symptoms usually occur in middle age and it quite common in adults older than 50 years of age. Interestingly as the age of the sufferer increases the occurrence is more likely in women, and there are many studies on the association between Osteoarthritis and Menopause. It is mainly related to aging but other factors such as a person's metabolism and genetic history can all be an influence. Often patients who have a history of taking certain types of medication, such as cortisone, can also be more susceptible.

Rheumatoid Arthritis is an autoimmune disorder that causes inflammation of the joints resulting in stiffness and pain. Normally our bodies are very efficient at taking care of keeping viruses and the like at bay, but when the immune system malfunctions it confuses healthy tissue for foreign substances and the body attacks itself. Ligaments and tendons that join the bones and muscle become inflamed and the result is pain in the effected joint. Rheumatoid Arthritis can be quite effectively treated with medications, although some of the treatments can have side effects that are difficult to manage. This disease can occur at any age but is most likely to occur in women. The course and the severity of the illness can vary considerably, with some sufferer's being pain free for years while their medication is working efficiently. Infection, genes, and hormones may contribute to the disease.

Both Rheumatoid and Osteoarthritis are major contributors to joint pain causes.

How To Delay The Progress Of Degenerative Arthritis


Degenerative arthritis is a type of arthritis that commonly affects millions of people worldwide. In fact, next to rheumatoid?? arthritis, this is the next most common form of arthritis that never fails to make people suffer from pain on a daily basis. Usually, degenerative arthritis happens when the cartilage that is supposed to act as a shock absorber to the bones decrease. Because of this, parts of our body that beats weight such as hips ( for women) and knees often get affected by degenerative arthritis especially for those who are overweight. Daily activities such as walking and climbing? stairs gives our joints a beating that we often ignore until the time pain is felt.

Arthritis can affect people who are in their mid-40s, especially men. In the United States alone, 20 million people suffer from arthritis according to a report from the national health department. As the cartilage wear out, spurs or small new bones develop that is actually greatly responsible for the pain in this type of arthritis. The swelling causes pain and as a response the cartilage produces new bone growth. The rubbing bones definitely amplifies the pain felt by the person suffering from degenerative arthritis.

Although more often than not, doctors are often perplexed by the cause of OA to a person especially when there is no history of previous trauma which is why it is referred to as primary? osteoarthritis. Nevertheless, obesity is a main contributing factor to OA since excess body weight puts so much strain on the joints. When obesity becomes the main culprit, it is now referred to as secondary osteoarthritis.

Degenerative arthritis is also known as Osteoarthritis (OA)?? since the situation worsens as cartilage becomes worn out. In fact, there is no way yet to stop the progressing of this ailment although some supplements and medication may be able to reduce the pain and swelling as well. Usually, doctors advice people with OA to lose weight and continue moderate physical exercise. Also, physical therapy? as well?? as weight training exercises that strengthen affected body parts may help delay the progress of degenerative arthritis. In conclusion, degenerative arthritis cannot be stopped but its progress can be delayed by taking some precautions advised by the doctor.

Signs of a Hip Replacement Infection to Be Aware Of


An infection can occur in some cases after a hip replacement procedure is handled. It will help to know about the signs of an infection. This is because if they are found early it will be easier to treat the infection before it can become worse in its intensity. A fever is a common sign of an infection. This is a condition that occurs when a person's oral temperature is greater than a hundred degrees Fahrenheit on a consistent basis.

In addition to a fever chills can occur in the body if it is infected. These chills can be ones that can cause the body to shake. They can also make the body feel unbearably cold. The area of the hip that was handled in the process should also be checked. An infection can be visible if the area is red or swollen. An infection can also be present if the treated area is one that feels tender to the touch.

In some cases pains can be felt in the hip area after the hip replacement procedure is handled. This is a natural effect of the procedure. The body will need to have some time to adjust to the new hip. In cases where an infection takes place the pains may not go away. In addition to this the pains can get to be even more intense as a person is active or rests for a longer period of time.

A good thing to know is that when an infection is found early it will be easier to get the damage of an infection reversed. This is done by working to help with getting the new joint to be altered quickly. Doing this can be done as a means of making sure that the effects of an infection will be less intense.

Tuesday, March 4, 2014

Self Defense Techniques Fight Dirty and Live


Gouging, biting and headbutting are illegal in the ring, but they're perfectly acceptable in a street situation. True self defense technique are to brutal for any sort of sporting application. Unlike tournament fighting there are no agreements on the street as to what so called dirty techniques can or can not be used when one person attacks another. The attacker is not going to ask you if you are going to fight fair.

When you are attacked on the streets you may find you are fighting for your life and you must use whatever so called dirty techniques you can to survive. Many people who practice the martial arts think that the kicks, punches and throws they learn is all they will need to prevail in a street confrontation. When an attacker has a arm around your throat and is threatening you with a knife and the fighting techniques that you learned in the dojo are useless and will not get you out of the situation what will you do?

Use a chomping bite to the wrist and a smashing headbutt to their nose could be the answer for your release. Once you are free you can turn and quickly poke him in the the eyes and make your escape, this is survival of the smartest.

Yeah I know that having to resort to eye gouging, and other dirty fighting techniques are looked upon as not fair, but there is nothing fair about being attacked and your life put at risk by a punk who is out to rob you, or even worse, take your life to prove something to his gang members. The facts are when you are attacked and you must defend yourself, it is all about you or him, what I mean is someone is walking away from the confrontation and the other may be on their way to the hospital or worse the morgue.

The self defense techniques that you learned in a self defense class are good for using in the class and tournaments where there are rules. The techniques are controlled and the so called dirty techniques are not used because for them to work someone needs to get hurt. The facts are most good techniques used for self defense on the street are illegal to use in tournament sparring. The problem is that these "dirty" techniques can not be practice because they need to be pulled to avoid injury to the student and the full effectiveness of the technique is lost.

Because of the emphasis on clean techniques that can be used safely in sparring, many students and instructors totally overlook or ignore some of the best street defense techniques known to man. You need to train and be aware of how to use hair pulling, gouging, biting and headbutting techniques, because any one of these techniques could make the different between you walking away from an attack or you being carried away on a stretcher.

Many martial artist trains exclusively for one on one sparring in a controlled environment with rules and regulations, but fighting for your life is not a game. You must be prepared to use what ever it takes to disable or even kill an attacker in order to save your life, or the life of a loved one.

Hair pulling or grabbing is often referred to as Chancery in Western martial arts and boxing and is illegal in both sports. Hair pulling techniques can prove most valuable in a self defense situation. Yanking on an attackers hair can be quite painful and can help you gain release from a headlock, a rear restraint like a bear hug, or escape from a prone position when a attacker is straddling you as you lay on the ground.

You can use the hair grab as a way to hold an assailant head still as you get ready to deliver a blow to the head such as a palm smash, punch, headbutt, elbow smash or an eye jab. Grabbing the hair works will in the dark when it is difficult to judge the distance for a strike to the head. By grabbing his hair, you can steady his head and be able to judge the location of his jaw or temple quite accurately without having to see it.

If you are behind your attacker you can take him down by grabbing a handful of hair and jerking back as you kick the back of his knees. You can use the hair grab to pull your attacker over furniture, into a plate glass window or a brick wall, as well as holding his head for a headbutt or a rising knee smash to the face. If he has a beard with any length to it grab it and pull, where the hair goes the body follows like down a flight of stairs or into a ditch and so on.

The bone along the top ridge of the skull is extremely strong and makes a good weapon for headbutting by using the front or the back of the head to strike with. Some Asian and Western fighting arts have included the use of headbutting in their fighting styles, but the technique is seldom used during sparring matches. Old Chinese and Korean masters could drive nails into boards with their foreheads. The English even went as far as creating a system called knutting based on headbutting techniques.

Headbutting is an excellent close in weapon to use during grappling attempts or front or rear bear hugs. Headbutting works well when one is on the ground being straddled or during the act of rape. Just grab his hair and jerk his head down into your forehead repeatedly, striking his nose, jaw, temple and eye sockets. Avoid striking his mouth, if you can, to keep from getting cut by his teeth, although a strong headbutt to the mouth will split open his lips and knock out his teeth.

There is no need to strengthen your forehead by headbutting trees and concrete blocks, your head it is plenty strong enough and all you will do is get a headache. However you can practice thrusting your forehead into bean bags, or sandbags, hung from the ceiling to help you in your control and accuracy of your head thrust.

You should practice thrusting at the bean bag in a furry of 3,4,or 5 thrusts in rapid succession concentrating on focus and follow through. If you practice your head thrusts, when it comes time to use it, you won't feel the strikes as much and you will be able to control your strikes better.

When it comes to biting we humans are not endowed with the teeth that would make our teeth formidable weapons, never the less biting can be used to divert an attacker's attention, inflict severe pain, or help gain release from a specific hold. When you are attacked from the rear and your attacker puts his hand over or near your mouth you should be able to maneuver the upper or lower jaw enough to be able to get a good bite on the attacker's pinky or index finger. Chomping down hard on a finger or wrist could be enough of a distraction to allow you to break free, so you can escape

Biting can help you to disarm your attacker when you are attacked from the rear and they have a weapon to your throat. By pulling down on the hand that hold the weapon to your throat just a few inches you can bite down on his wrist hard enough to cause him to drop the blade and release his hold of you.

If you find yourself on the ground being raped wait for the first opening and sink your teeth into the attackers throat, testicles, tongue, or grab an ear and bite it off. It is not pretty but if you know that when he is finished taking his pleasure there is more hurt and pain coming what do you have to lose?

Another so called dirty technique is gouging of the eyes and it can result in watering of the eyes resulting in difficulty seeing or even in permanent blindness. Gouging is done with the thumbs placed over the eyes, using one or both thumbs, and is useful against someone choking you from the front, or when they start pushing you. To gouge the eyes grab the head with both hands fingers wrapping around to the back off the head, palms over or slight above the ears and the thumbs placed over the eyes and apply pressure to the eyeball squeezing the eyes back into the eye socket.

You can also grab the head as mentioned above and stick both thumbs in to the mouth on both sides of the lips between the teeth and the cheek and pull the cheeks back towards the ears ripping the attackers cheeks. You can practice on bean bags, sandbags or even get creative and use lumps of clay shaped into a simulation of a face with eyes and have at it.

Contrary to popular belief dirty fighting just does not come natural to most people. We are subconsciously socialized to believe fighting should be "fair" even though we intellectually realize there aren't any rules for the street criminal.

There is an old maxim that states; You will fight as you have been trained to fight. If this is true, then it becomes imperative for the martial artists to include "dirty" techniques in their training. The facts are your attacker will use every trick in the book and he will probably assume that you are the type of victim who won't resort to using ruthless methods.

Whether you end up in the emergency room or morgue instead of him may very well depend upon your willingness to practice and use the types of effective and dirty techniques covered in this article and other articles

On the street the only people who talk about dirty techniques are the victims. Think about it! Remember when it comes down to it, sometimes, the only thing standing between you and survival are your street smarts.

Knee Replacement Surgery - Fighting Infection


Getting a total knee replacement requires major surgery. In the operating room an eight inch incision will be made in your leg so the doctor has room to do his work. Whenever total knee replacement occurs, there is a small risk of infection. Even though the doctors and his assistants take every precaution to prevent infection, you are in a hospital. And hospitals are full of sick people.

It is a normal precaution for knee replacement surgery for the doctor to prescribe antibiotics to be included in your intravenous, both during and after the surgery for a few days. This helps protect you if you have been exposed. But there are things you can do to protect yourself. One of them is to ensure your own immune system is humming along at a high level.

There has been an explosion of books on boosting your immune system. Several that do a good job of explaining how you can ensure your immune system is operating at optimum levels are "The Immune System Cure", published by Kensington (2000), and "The Top 100 Immunity Boosters", published by Duncan Baird (2006). There are numerous others available, check your local book store.

In general terms, you should know that your immune system can be compromised if you are simply suffering from a deficiency in certain vitamins or nutrients. The famous Recommended Dietary Allowance (now called Reference Daily Intake) was developed in the United States during World War II to define the minimum allowance for "energy and eight nutrients" that would meet the requirements of 98% of the population. Note: these values were not the "optimum" levels, simply the amounts that would prevent deficiency diseases from occurring, with some additional safety margin. In most cases, optimum levels have not been determined for most vitamins and minerals.

The typical multi-vitamin has less than your required RDI of each item, frequently as little as 10% or less. It is expected that most of your vitamins and minerals will come form your diet, and this is the preferred source, because fresh foods typically include additional useful components such as flavinoids and other micronutrients. Nonetheless, depending on the freshness of your food, the amount of processing, and the variety of your diet, it is probably a good idea to take two of your usual one-a-day vitamin supplements each day, in the weeks leading up to your hospital stay.

In addition, there are two other products you may want to consider for their immune boosting effect. Echinacea is a well know, easily available, cold and flu relieving product that has proven immune system benefits. White blood cells are important components in your total immune system and Echinacea has been shown to both increase their number and their activity in study subjects. It also helps counteract an enzyme released by bacteria that allows them to penetrate human tissue.

Lomatium dissectum (fernleaf biscuitroot) is a plant with a long traditional of medicinal use by Native Americans. It first came to the attention of western medicine when Ernst Krebs, MD of Carson City noticed, during the great influenza epidemic of 1918 that killed over 20 million people world wide, that the local aboriginal peoples, the Washoe, were recovering more quickly than his other patients. Extracts of this plant are now being used in the treatment of numerous viral diseases, including Hepatitis-C, AIDS and Pneumonia. Since respiratory problems are of particular concern after surgery involving general anesthetic, you might want to consider a regimen of taking this product starting 3 or 4 days before your surgery.

You should always discuss supplementation with your doctor. Your case is different from everybody else's because you are an individual. However, there should be no problem with taking your multi-vitamin supplement. And there is no problem in making an effort to eat a varied diet, rich in fresh vegetables and fruits, with adequate sources of protein, all cooked as little as possible. Steaming, stir frying and roasting or grilling as opposed to deep frying or frying would be the preferred cooking methods.

Support your immune system, before you get into the hospital, so that it will support you while you are there, and after you get out.

India is the Destination for Obesity Cure


Obesity surgeries in India have seen a phenomenal Growth during recent past. Most patients from countries like USA and UK travel to developing countries such as India for treatment, few main reasons while choosing India at first choice are because India offers wide range of cheapest pricing options of treatment. While planning a treatment in India, one does not require waiting in patient queues or registering for a waiting list. Moreover the doctors and the medical facilities are comparable to anyone in the world. Another main reason for choosing India is comfort of Language; one does not pose a problem as most people speak English. Above all India always offers a good holiday, which can help in fast recoveries. India combines world-class healthcare with prices costing a fraction of those in the US or Europe. The Indian education system at present is training an estimated 20,000 to 30,000 doctors and nurses each year to meet the demand for increased medical services.

What is Obesity Surgery?

Obesity surgery is an operation that reduces or bypasses the stomach or small intestine so that severely overweight people can achieve significant and permanent weight loss. Obesity surgery is performed only on severely overweight people who are more than twice their ideal weight. This level of obesity often is referred to as morbid obesity since it can result in many serious, and potentially deadly, health problems, including hypertension.

Who is A Candidate for Obesity Surgery?

There are a number of widely accepted criteria that make a patient suitable for weight loss surgery:


  • Weight greater than 45kg above the ideal body weight for sex, and height.

  • BMI > 40 by itself or >35 if there is an

  • Associated obesity illness, such as diabetes or sleep apnoea

  • Reasonable attempts at other weight loss techniques

  • Age 18-65

  • Obesity related health problems

  • No psychiatric or drug dependency problems

  • A capacity to understand the risks and commitment associated with the surgery.

  • Pregnancy not anticipated in the first two years following surgery.



Procedure of Obesity Surgery: Obesity surgery is usually performed in a hospital by a surgeon who has experience with obesity surgery or at a center that specializes in the procedure. General anesthesia is used, and the operation takes 2-3 hours. The hospital stay lasts about a week.Three procedures are currently used for obesity surgery:

  • Gastric bypass surgery. Probably the most common type of obesity surgery, In this procedure, the volume of the stomach is reduced by four rows of stainless steel staples that separate the main body of the stomach from a small, newly created pouch. The pouch is attached at one end to the esophagus. At the other end is a very small opening into the small intestine. Food flows though this pouch, bypassing the main portion of the stomach and emptying slowly into the small intestine where it is absorbed.

  • Vertical banded gastroplasty. In this procedure an artificial pouch is created using staples in a different section of the stomach. Plastic mesh is sutured into part of the pouch to prevent it from dilating. In both surgeries the food enters the small intestine farther along that it would enter if exiting the stomach normally. This reduces the time available for absorption of nutrients.


  • Jejuoileal bypass. Now a rarely performed procedure, Jejuoileal bypass involves shortening the small intestine. Because of the high occurrence of serious complications involving chronic diarrhea and liver disease, it has largely been abandoned for the other, safer procedures.



Post-operative care after Obesity Surgery:

Immediately after the operation, most patients are restricted to a liquid diet for two to three weeks; however, some may remain on it for up to 12 weeks. Patients then move on to a diet of pureed food for about a month, and, after about two months, most can tolerate solid food. High fat food is restricted because it is hard to digest and causes diarrhea. Patients are expected to work on changing their eating and exercise habits to assist in weight loss. Most people eat three to four small meals a day once they return to solid food. Eating too quickly or too much after obesity surgery can cause nausea and vomiting as well as intestinal "dumping, " a condition in which undigested food is shunted too quickly into the small intestine, causing pain, diarrhea, weakness, and dizziness.

Why should one travel to India for Obesity Surgery?

There are numerous foreigners that are flying to India and desperate to do so. It is not to see the backwaters of Kerala or the beautiful beaches of Goa but to rid themselves of the extra flab, what binds them is their desperation to get freedom from those extra pounds through much cheaper surgery in Indian metros. They do not want to be anorexic but are desperate nevertheless to rid themselves of their obesity and lead a better life. Obese people across the world are flooding the email box of noted laparoscopic surgeons in India. Because there is a long queue for such operations abroad and because it is far economical here, we are flooded with queries from abroad for operation dates in India."Important cost difference subsist between U.K. and India when it comes to medical treatment tourism packages. Every year innumerable number of alien visitors from different parts of the world visits India for its historical escapade. Moreover, many a time some of them fall ill as illness knows no place. India is not only cheaper in respect of medical treatment packages but the waiting time is almost zero. This is due to the explosion of the private sector, which comprises of hospitals and clinics with the up-to-the-minute technology and best practitioners. Traditional tourist spots still attract foreigners by the hordes to India, but lately, medical tourism is proving to be one of the most lucrative and viable options. Obesity cure by operations in India can form a major chunk of our medical tourism revenues in future," With globally recognized healthcare professionals, holistic medicinal services and low cost treatment, India can earn $5 billion a year and attract over one million health tourists a year.

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