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Osteoporosis, or porous bone, is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and an increased susceptibility to fractures, especially of the hip, spine and wrist, although any bone can be affected.

Types of Osteoporosis

o Primary Osteoporosis
o Secondary Osteoporosis

Primary Osteoporosis:
1) PMO - Postmenopausal Osteoporosis
2) Senile Osteoporosis (Age related)
3) Idiopathic Osteoporosis

o We are in the midst of a global osteoporosis epidemic. 200 million people worldwide are suffering from this condition.
o National Osteoporosis Foundation (NOF) findings are as follows:
-Osteoporosis related broken bones affect more women than breast cancer, uterine cancer and ovarian cancer combined. One out of two women will have an Osteoporosis related bone fracture in her lifetime.
o Bone health must be considered a top priority for everyone over the age of fifty throughout the world.
o Osteoporosis is 100% preventable. Osteoporosis is 100% treatable, but Osteoporosis cannot be completely cured.

Prevention is always the best treatment, so talk to your doctor and get a BONE MINERAL DENSITY (BMD) test now to see what you need to do to keep your bones healthy, strong and beautiful.

o Our body achieves its peak bone mass (Maximum bone density and strength) by the time we are 25 and 30, it does a pretty good job by working out a precise balance between resorption (the removal of old bone) and formation (the addition of new bone).
o When a woman reaches the age of menopause her bone loss accelerates from about 3% up to 7% a year.
o Think of it this way: If you have been diagnosed with low bone mass or density, this means that your bones have less mineral per square inch than they should which is known as Osteopenia - means thinning of bones.
Symptoms
o Osteoporosis is often called a "silent disease" because bone loss occurs without symptoms. Women may not know that they have osteoporosis until their bones become so weak that a sudden strain, bump or fall causes a fracture or a vertebra to collapse. Collapsed vertebrae may initially be felt or seen in the form of severe back pain, loss of height, or spinal deformities such as kyphosis or stooped posture.
Risk Factors
Body - type risk factor
o Tall, thin, fair-skinned women have a high risk of developing Osteoporosis.
Weight risk factor
o Sudden weight loss after menopause (More than 10% of your body weight) can double your chances of developing Osteoporosis.
o If you need to lose weight after menopause, do it slowly and under the care of your doctor.
Risk factors you can change
o DXA testing
o Lack of exercise
o Smoking
o Alcohol
o Caffeine
o Low calcium and Vitamin D
o Low body weight
o Certain medications
Detection
o Specialized tests called bone mineral density (BMD) tests can measure bone density in various sites of the body. A BMD test can:
o Detect osteoporosis before a fracture occurs
o Predict chances of fracturing in the future
o Determine rate of bone loss and/or monitor the effects of treatment if a DXA BMD test is conducted at intervals of one year or more.
Postmenopausal Osteoporosis
o Affects only women associated with the loss of estrogen, that occurs after menopause.
o Affects trabecular (porous, spongy) bones of 1. Wrist 2. Spine
Hormone Replacement Therapy: Yes , No or Maybe.
o Especially estrogen, to postmenopausal women, which decreases dramatically after menopause.
o ERT = Estrogen Replacement Therapy
o When estrogen is combined with progesterone it is generally called Hormone Replacement Therapy (HRT)

Postmenopausal
Age: 50 to 75
Type of bone loss: Trabecular
Site of fracture: Wrist and spine
Rate of bone loss: Accelerated
Calcium absorption: Decreased

OSTEOPOROSIS
o Metabolic bone degeneration (Osteoporosis) affects millions of people and is directly responsible for debilitating hip, vertebral and limb fractures in the elderly.
o The magnitude of the Osteoporosis problem has been realized in recent years; and the value of early detection and therapeutic intervention has become clear.
Why we get Osteoporosis?
o Osteoporosis is a degenerative disease which means porous bone. What happens is that when our body stops getting the CALCIUM that it needs (Which does tend to happen as we get older). It steals the needed calcium from our bones, over a period of time when our bones have lost more calcium than they can replace Osteopenia (Thinning of the bone) develops. If not treated, this turns into full blown Osteoporosis, it is actually the long term negative result of a short term coping mechanism.
o The secret to preventing Osteoporosis is to give your body all the calcium it needs, so that it doesn't have to steal calcium from bones.
o Vitamin D and exercise are also very important.
o Your body cannot survive without adequate levels of

1. Calcium

2. Phosphorous

3. Magnesium

4. Sodium
o These substances are normally stored in your bones. When the levels of these minerals and nutrients get too low in your blood, your bones give them up to restore a healthy balance of them in your bloodstream.
o When your blood mineral levels are restored to normal, your body can go on functioning in a healthy way.
o Bones are givers. The most charitable of all our bones are those that have a high trabecular content, like the jaw, pelvis, wrist and spine. Sometimes the first sign of systemic bone loss is receding gums. The wrist and vertebrae also tend to fracture before the hip, because they are composed largely of trabecular bone.

CONTRIBUTING FACTORS:
o Inadequate nutrition
o Smoking
o Alcohol abuse
o Minimal exercise
o Depression
o Some medications
o Some surgeries
o Irregular periods
o Exposure to toxins in the environment.

THE CALCIUM REVOLUTION
o Researchers are increasingly finding that the humble mineral calcium plays a major role in warding off major illnesses from high blood pressure to colon cancer. You name the disease and calcium is beginning to have a place there, says David M., a nephrologist at Oregon Health Sciences University.
o Americans are in a major calcium deficiency crisis.
o Calcium is essential for bones and teeth.
o It regulates heart rhythm.
o Helps blood clot properly.
o Maintains proper nerve and muscle function.
o May lower blood pressure.
o Eases insomnia.
o Keeps cell membranes healthy.
o Helps us metabolize fat.
o May reduce the risk of breast and colon cancer.

ABSORPTION OF CALCIUM
o Learn how to increase the amount of absorbable calcium in your diet everyday.
o About 98% of the calcium in our body is stored in our bones.
o Approximately 1% of it is in our teeth.
o Other 1% circulates in the bloodstream and other tissues.

CALCIUM
o Dietary Reference Intake (DRI) - 1500 mg/day in divided doses.
o Countries such as USA, whose population consume large quantities of dairy products and calcium, have much higher rates of Osteoporosis than countries which consume little or no dairy products and little calcium.

EXCESS CALCIUM
o Excess calcium in postmenopausal women can cause
o Kidney stone formation
o Hypercalcemia
o Fractures
EXCESSIVE CALCIUM EXCRETION
o Excessive calcium excretion is the cause of bone loss. E.g. amount of calcium ingested is more than what is absorbed or required causing negative balance which is equal to bone loss.
o However if more calcium is consumed than is lost then one is said to be in positive balance.
o Anyone having a disease of the parathyroid gland should not take calcium and consult their health professional.

ANIMAL PROTEIN & CALCIUM LOSS
o Consumption of large quantities of animal protein causes greater loss of calcium.
o Urinary calcium excretion on a high protein diet is about 90-100gms which increases the risk of Osteoporosis in most women.
o SO PLETHORA OF PROTEIN CAUSES PAUSSITY OF BONE.
o Vegetable proteins are safe and do not cause negative calcium balance.
o Calcium is the most important mineral in your body, but most of us are not getting enough of it in an absorbable form.
o Please try to make sure you are getting the following important nutrients in your diet each day:
o Calcium 1000-1500 mg

(In divided doses)
o Phosphorous 500 - 700 mg
o Magnesium 750 mg
o Vitamin D 400 - 800 IU

(When you can't get 15 minutes of sunlight.)
o Vitamin C 1000 mg

(In divided doses)
o Vitamin K 100 - 300 mcg
o Zinc 12 mg
EXAMINATIONS
o DXA - Dual X-ray Absorptiometry

This test is simple, non-invasive to measure bone density, which is a measure of bone strength.
o Serum calcium
o Serum Vitamin D

CALCIUM FACTS
o ALL CALCIUM SUPPLEMENTS WORK THE SAME WAY. THEY CONTAIN DIFFERENT AMOUNTS OF ELEMENTAL CALCIUM.

Calcium Carbonate 40% calcium
Calcium Citrate 20-24% calcium
Calcium Lactate 13% calcium
E.g. For every tablet that contains 1000 mg of Calcium Carbonate, only 400 mg (40%) of the amount is available to us for absorption. The remaining 60% of the tablet is made up of oxygen and carbon.

American Journal of Therapeutic & Journal of Clinical Pharmacology have concluded that Calcium Citrate is better absorbed than Calcium Carbonate, which is a preferred supplement for the elderly.

FOR PROPER ABSORPTION OF CALCIUM

VITAMIN C

DRI = 1000 mg/day

(In divided doses)
Absorption of calcium is proper if there is an acidic medium. If not then calcium will deposit and cause atherosclerosis.
Caution: Do not take Vitamin C if you have kidney stones, gout or iron deficiency disease.
o PHOSPHORUS

DRI = 500 - 700 mg
Phosphorus is very essential for the synthesis of protein, carbohydrates and fats.
Calcium : Phosphorus

2 : 1
Deficiency of phosphorus: Osteoporosis, nervousness, depression, nerve and brain functions are affected.
e.g. walnuts, almonds, ragi etc.
o Excessive consumption of phosphorus (E.g. red meat and carbonated beverages) can decrease and contribute to bone diseases, as there is phosphoric acid in the beverages.

MAGNESIUM

DRI = 320 mg/day
o This trace mineral facilitates bone formation, protein synthesis, muscle function and regulation.
o Magnesium has a role in the production of a bone hormone called parathyroid hormone (PTH).
o Normal levels of PTH results in bone formation.
o High levels of PTH results in calcium loss.
o Low magnesium results in low PTH.

Sources of Magnesium
o Wheat germ
o Almonds
o Flaxseed
o Soya Products
o Fig
o Nuts
o Apples and bananas

VITAMIN D

400 IU/day
o Five to fifteen minutes of sunlight a day guarantees all the essential Vitamin D that you need.
o Fifteen minutes of sunlight a day on fair skin should result in the production of 100-200 units

of Vitamin D3.
o It can increase calcium absorption by up to 65%
o When people on weight loss drugs, which reduces the absorption of fat develop deficiencies of

fat soluble vitamins like Vitamin A, D, E and K.

VITAMIN A

DRI = 700 mgm/day
o Vitamin A is essential in low doses, but in high doses is harmful.
o Recent studies suggest that consuming more than 1.5 mg/day of Vitamin A from a supplement

increases the risk of fracture.
o Vegetarians are at risk of not consuming enough Vitamin A, as found by The Institute of Medical

Panel, U.S.A., as vegetarians have to rely on carrots and sweet potatoes for their Vitamin A

requirements.

VITAMIN K

DRI = 100 -300 mg/day
o Necessary for the body to make the protein Osteocalcin, which plays an important role in binding

calcium crystals in the bone.
o It helps against bone loss in postmenopausal women.
o Vitamin K also appears to play a major role in the healing of fractures.
Food sources:
o Green leafy vegetables
o Whole wheat
o Oats
o Cabbage
o Green Tea
o ZINC

DRI = 12 mg/day
o Low levels of zinc have been associated with Osteoporosis.
o In one study, women with osteoporosis had 30% less zinc in their bloodstream than non-osteoporotic women.
o You must take a varied diet to have all nutrients and minerals instead of supplements.
Food sources:
o Whole grains
o Bran
o Cashew nuts and peanuts
o Pumpkin seeds
o Sesame seeds
o BORON

DRI = 2-3 mcg/day
o Latest studies indicate that trace mineral boron can exercise great influence on Osteoporosis.
o Boron deficiency can hamper calcium metabolism and thereby make the bones brittle. It serves

as a mild form of 'Estrogen Replacement Therapy'.
Food sources:
o Avocado
o Broccoli
o Carrots
o Spinach
o Kidney beans
o Almonds
o Oranges

10 DIET TIPS FOR HEALTHY BONES
o Reduce the animal protein in your diet.
o Reduce the extra salt in your diet. Try to keep it to 2,000 mg/day.
o Reduce food high in saturated fat.
o Reduce caffeine. Switch from regular to decaffeinated coffee.
o Increase vegetables, fruits, legumes, beans, whole grains & green leafy

vegetables.
o Increase calcium-rich foods.
o Increase water intake to 8-10 glasses per day.
o Eat in a relaxed setting. Chew your food slowly and well.
o Stop smoking.
o Reduce alcohol intake.
o Osteoporosis, a condition of decreased bone that increases the likelihood of fracture, places a

significant burden on our society in terms of health cost and morbidity.
o Estrogen deficiency is the most dominant factor in the pathogenesis of postmenopausal

osteoporosis.

Responsible factors:
o Bone loss
o Estrogen deficiency
o Negative calcium balance
o Variety of genetic and environmental factors

The best approach to the management of Osteoporosis is to develop a lifelong strategy that maximizes peak bone mass and minimizes postmenopausal bone loss.

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The posterior cruciate ligament or PCL is a ligament located in the knee. The strong band of tissues that comprise the PCL serves to connect your tibia to your femur. More commonly people experience an injury to the anterior cruciate ligament (ACL) but it is also possible to experience a PCL injury or tear.

There are a number of things that may cause a posterior cruciate ligament tear. Most commonly a PCL injury happens following some type of fall or other powerful strike to the knee, particularly if the knee is bent during the incident. Certain sports may also have a higher likelihood for PCL tears, for example, soccer, skiing and football.

PCL injuries span a range in severity from less severe to very severe. Typically during a physician's medical assessment for a PCL tear, during diagnosis, a physician may determine the grade of the injury, ranging from the most mild Grade 1 signifying a partial tearing of the PCL to the most severe Grade 4, when the PCL is torn along with other knee ligaments like for example the ACL.

   
Aside from notable physical pain, other signs of a damage to the posterior cruciate ligament includes swelling in the knee, difficulty walking, and an unstable feeling in the knee. If you think you have a PCL injury or some other knee related injury, it is advisable that you seek medical attention from a qualified doctor. Board certified orthopedic physicians specialize in knee injuries and will be able to offer expert diagnosis and treatment.

If you are getting examined for a knee injury, you may be required to have X-rays to determine whether you have broken or damaged any bones. MRIs are also able to provide information about the location and severity of the injury.

Non-surgical medical treatment for a PCL injury may include rest, ice, compression and the use of crutches to stabilize the knee. Non-steroidal anti-inflammatory medications are also sometimes recommended to relieve inflammation and pain. In addition, physical therapy may be advised as part of the recovery process from a PCL injury.

Sometimes surgery is required to repair a more serious PCL injury. Surgical intervention administered by a board certified orthopedic surgeon for posterior cruciate ligament injuries often involves arthroscopy.

If you are experiencing knee pain and are concerned that you may have a PCL injury, damaged anterior cruciate ligament or ACL injury, or some other type of knee injury, you should seek medical treatment from an orthopedic doctor or another qualified medical professional as soon as possible.



Dr. Stacie L. Grossfeld is a board certified Orthopaedic Surgeon practicing in Louisville, Kentucky. She graduated from the University of Louisville School of Medicine, and completed a fellowship in Sports Medicine at the Fowler-Kennedy Sports Medicine Center. Dr. Grossfeld currently works as a louisville orthopedic surgeon in private practice at Orthopaedic Specialists. Dr. Grossfeld also serves as a clinical instructor in the Department of Orthopaedic Surgery at the University of Louisville. Her special interests are in knee and shoulder reconstruction and sports medicine.


Football Related Knee Injuries

Ligament Injuries

Football players frequently injure one or more of the knee ligaments. These ligaments include the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the medial collateral ligament (MCL), and the lateral collateral ligament (LCL).

               
ACL Injury - When an athlete changes direction rapidly, lands wrong from a jump, or simply slows down when running, the ACL could tear. With this injury, knee swelling immediately occurs and walking is painful. The knee may have loss of range of motion and tenderness with an ACL injury. Treatment for this type of injury depends on the degree of tear to the ligament, whether or not there are other associated injuries, and how much physical demand the patient puts on their knee. Sometimes, the orthopedic specialist needs to operate to repair a complete tear of the ACL. Recovery is measured in months, rather than weeks for this type of injury.

MCL Injury - The MCL is generally injured from a direct blow to the outside portion of the knee. The ligament is torn or stretched when the foot is planted firmly on the ground and a sideways force hits the knee. An injured MCL causes pain, difficulty walking, and tenderness. Therapy involves the use of a knee immobilizer, rest, ice applications, compression with a support bandage, and frequent knee elevation. Surgery is only necessary for severe tears of the MCL.

PCL Injury - The PCL is injured when a football player receives a blow to the front aspect of the knee or makes a simple misstep on the turf. Most PCL tears and injuries will heal with conservative treatment. An injured PCL leads to pain with walking, instability, and swelling of the knee. Surgery may be necessary with complete tearing and extensive damage to the PCL.

LCL Injury - The LCL is the least likely ligament to be injured during football activities. When severe force is applied to the inside of the knee, a LCL injury could occur. Symptoms include pain, swelling, weakness, tenderness, and discomfort to the outside of the knee. Treatment involves the RICE method, anti-inflammatory medications, and immobilization. Surgery to reattach the ligament to the bone is sometimes required.

Cartilage Injuries

Torn Cartilage - Most of the time, the meniscus is the cartilage that is torn during a football game. This rubbery, tough structure serves as a shock absorber during athletic activities. The meniscus tears with cutting, decelerating, pivoting, twisting, or from being tackled. Most torn meniscus injuries cause gradual pain and swelling, worse with climbing steps or uphill. Not all meniscus tears require surgery, but frequently the damage can only be repaired through an operation.


Fractures

The patella can break if the football player falls directly onto it or receives a direct blow in that area. If the bone is fragmented, surgery will be required for repair. If the bone is in appropriate position, the orthopedic specialist may prescribe an immobilizer and rest for the injury. The head of the fibula on the outside area of the knee joint is easily fractured from direct blows or as part of an injury to the lower leg. If the bone is not out of alignment, immobilization and conventional therapy will treat the injury. Sometimes, however, the fibula fracture is complex and requires surgical repair. With jumping types of injuries, the tibia bone can be damaged. If the fracture occurs in the tibial plateau, surgery is often necessary.

Bursa Inflammation

Bursa inflammation is also called 'housemaid's knee' or prepatellar bursitis and is the result of repetitive kneeling or crawling on the knees. The space between the kneecap and skin is called the bursa and it becomes irritated and fills with fluid. Bursa inflammation is a common type of knee injury of football players. Treatment includes using anti-inflammatory medications and rest. Occasionally the bursa needs to be drained for resolution of the problem.

Patellar Injuries

The patella can dislocate if it receives a direct blow. The blow can force this bone toward the outside area of the knee. Most dislocations of the patella easily return to normal alignment by simply straightening out the knee. However, some patella dislocations are serious and require surgery. Also, patella-femoral syndrome is inflammation to the underside of the patella. This condition causes localized pain, which is worse with running and walking down stairs. Treatment involves strengthening exercises, the use of ice therapy, and anti-inflammatory medications. Severe cases of this disorder require arthroscopic surgery to remove the damaged cartilage and realign parts of the quadriceps muscle.

Muscle and Tendon Strain

Most strains of the knee are treated with rest, ice therapy, elevation, and compression. Crutches help with walking, and the doctor may order an anti-inflammatory medication. These injuries are often the result of hyper-extension involving the hamstring muscles or hyperflexion causing the quadriceps to be injured. If the patellar or quadriceps tendon is ruptured, there is inability to extend the knee. Surgery is necessary to repair this type of injury.

Posterior Cruciate Ligament - All You Need to Know About PCL Injuries


There are four bones connected to the knee. These are the femur (upper bone/thighbone), tibia (lower bone/shinbone), fibula (strut bone on the outside of the leg) and patella (knee cap).

There are four main ligaments that bind these bones and help in stabilizing the knee. Two of them are collateral ligaments, Media Collateral Ligament (MCL) and Lateral Collateral Ligament (LCL), while the other two are cruciate ligaments, Anterior Cruciate Ligament (ACL) and Posterior Cruciate Ligament (PCL).


The cruciate ligaments, ACL and PCL, attach the thighbone and shinbone. They are named "cruciate" because they pass each other in the middle of the joint forming an "X." There are two functions of the PCL. One is to restrain the traveling of shinbone backwards on the thighbone while the other purpose is to restrict the shinbone from twisting outwards.

As PCL controls the backward movement of the shinbone, if the shinbone moves too far, the PCL can be damaged. This situation occurs due to the direct hit to the front of the knee while it is bent. PCL injury may also result from a car accident, when, due to inertia, the knee strikes the dashboard just below the patella. It can also be injured when someone falls on the bent knee. In both situations, the shinbone is forced to move backwards.

The symptoms of PCL injury may vary with the nature of the injury. In a PCL injury, the knee does not swell up as much. Sometimes patients feel that the knee is slipping or giving out. Pain and swelling may remain from 2 to 4 weeks. There would be positive sign on the "Posterior Drawer Test" and pain when "Reverse Lachman's Test" is performed.

The physical examination is very important to diagnose the deficiency in PCL. It includes three important tests: Posterior Lachman Test, Posterior Sag Test, and Posterior Drawer Test. Mostly the Posterior Drawer Test is conducted by placing the knee and leg in different positions and then applying load to the joint. If there is an unexpected movement of the shinbone, it means that the PCL has been damaged and is not working properly.

MRI, X-rays and sometimes arthroscopy may also be used to diagnose the PCL injury. Arthroscopy uses a small fiber-optic TV camera that is placed inside the knee joint to allow a surgeon to see the whole structure of the knee directly. Exercises and physical therapy may be recommended. Surgery is only recommended when other ligaments are also injured along with PCL.

This article is for information only regarding PCL injuries. For any medical advice and assistance, consult your doctor.

Rinella Orthotics, Inc. - Founded in New Lenox, IL provides comprehensive orthotic treatment in Will, Cook and Dupage Counties.

We are orthotics experts with many authored articles as well which you can access for free on our site at http://www.rinella-op.com



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Circulatory problems afflict thousands of people every day. One of the main symptoms of a circulatory issue is swollen legs. Swollen legs can be caused by many different conditions. Edema is an accumulation of fluid in the tissues. Phlebitis is a swelling of the veins, and can be accompanied by blood clots. Thrombosis, an obstruction of a blood vessel caused by a blood clot, is another cause for swollen legs. All of these conditions are painful, causing the sufferer multiple problems. There are various procedures and remedies that can be used to relieve pain and swelling. A person afflicted with one of these conditions can cut back on their salt intake, lose weight, quit smoking and exercise more. During a typical day blood is pumped equally throughout the body. The trouble with swollen legs begins when circulation problems arise; this is due to gravity causing blood to pool in the legs. Circulatory trouble can cause problems as minor as leg cramps and fatigue, but also the ailments as major as edema, phlebitis and thrombosis. A quick remedy is to elevate the legs, but pain most likely will return as soon as walking or standing is resumed.


 One recommended way to reduce the pain from any of these problems is to wear a pair of compression stockings. Compression socks, or support socks, are specialized hosiery designed to help circulation and provide additional support to wearers. Compression stockings are not made from the same material dress socks are made from. The materials used are several elastics, such as Lycra, rubber and spandex. The way they work is that graduated pressure is applied to the leg when the socks are worn, creating considerable pressure on the legs, feet and ankles. Worn tightest at the ankles, compression socks gradually loosen towards the knees. The socks compress the veins in the leg, along with muscles and arteries. Circulating blood is then forced through narrower veins. Since the arterial pressure is increased it forces the blood back up to the heart instead of settling in the legs. Compression socks have been worn for years mainly by those suffering circulatory problems, but now they are being recommended for other reasons. Anyone whose work requires them to stand for long periods of time, passengers on a long flight or other types of sedentary commutes, can benefit from compression stockings. They are also helpful to athletes. Wearing them helps give support to muscles while running or jumping. Article Source: http://EzineArticles.com/4098044

Food constipation is a problem that afflicts millions of Americans on a daily basis. As an expert author my goal is to reveal the highest quality information on health related subjects. A vast majority of individuals in this country are in the dark about how to correct their constipation problems. In this article, I will scratch the surface on what slows down the food elimination process. What Is The Digestive System? The food we all eat has to be broken down into smaller parts or nutrients before the body can utilize it. In all the humans, proteins must be broken down into amino acids, fats into fatty acids and glycerol's, and starches into simple sugars. Furthermore, the fluid that our body's need comes from the food and water we consume. The digestive system is made up of the alimentary canal, liver and the pancreas. The alimentary canal runs from the mouth to the anus and consists of the esophagus, stomach, and intestines (there's more information on what the definitions are on my website located in the resource box below). What Causes Food Constipation? First of all, constipation is having a bowel movement fewer than 3 times a week. Also, the stool is usually dry, hard, and small, and in some cases difficult to pass.


What foods cause food constipation? Dairy products- milk, cheese, yogurt Wheat products- bread, pasta, cookies, pastries Supplementary Iron Prepared Proteinous food- (cooked, fried, baked) fish, meat, beans grains and soy. It is also important to know that fats and sugars help to move the bowels, and help to decrease food constipation. Moreover, you should consume as much fruit and some fresh raw animal food like sashimi or egg yolk. More on the subject of food constipation is revealed on my website located at the bottom in the resource box. DISCLAIMER The information provided herein should not be construed as a health-care diagnosis, treatment regimen or any other prescribed health-care advice or instruction. The information is provided with the understanding that the publisher is not engaged in the practice of medicine or any other health-care profession and does not enter into a health-care practitioner/ patient relationship with its readers. The publisher does not advise or recommend to its readers treatment or action with regard to matters relating to their health or well being other than to suggest that readers consult appropriate health-care professionals in such matters. No action should be taken based solely on the content of this publication. The information and opinions provided herein are believed to be accurate and sound at the time of this publication based on the best judgment available to the authors. However, readers who rely on information in this publication to replace the advice of health-care professionals, or who fail to consult with health-care professionals assume all risks of such conduct.


We put everything on the line dealing with our skin; by purifying, conditioning and saturating, at that point we invest heaps of energy applying costly cosmetics, just to understand that unattractive facial hair is noticeable for anyone passing by to view. Undesirable hair on the face is a typical issue that influences bunches of ladies, and there are a couple of things that reason this to occur. It could be innate or perhaps as a result of your ethnic legacy, there are the individuals who have over the top facial hair on account of ailments or it could even be because of hormonal changes related with the menopause.


Hair can show up on various territories of the face including;

Lip

Jaw

Stunning

Sideburns

Eyebrows

Cheeks

Facial hair that is over the top, unattractive or undesirable is a cause for worry for loads of ladies which can prompt low confidence, and in spite of the fact that it's normal, undesirable hair on the face can make humiliation ladies and truly influence their self-assurance. Evacuating the hair is the best arrangement, despite the fact that you may locate that waxing, stringing and culling hair can get aggravating and excruciating, yet in the event that you're not content with these techniques, at that point laser hair expulsion merits considering as an elective choice, as it offers long haul results.


Cures and medications incorporate;

Utilizing shaving, waxing, stringing and culling procedures which are tedious and brief.

Electrolysis for all time evacuates hair by utilizing heat, however it's an incredibly moderate and difficult strategy and could desert a few indications of scarring.

Diminishing the development of undesirable facial hair utilizing cured creams can likewise be utilized, albeit symptoms, for example, skin rashes and disturbance may happen when utilizing this technique.

Another sound cure that can lessen undesirable hair is weight reduction. There are a few ladies who have seen pointless facial hair development when they are overweight, and losing abundance weight could help with facial hair decrease.

Dependable results would now be able to be gotten with laser hair expulsion. This treatment is a superior other option, as little and huge territories can without much of a stretch be dealt with rapidly and adequately, contrasted with different strategies.

Removing facial hair with laser treatment is a snappy technique that gives incredible outcomes. The shade in the hair follicle assimilates the laser vitality and afterward this vitality changes over to warm, making warm harm the follicle without making any mischief the encompassing skin, and this stops the hair developing in the harmed follicle.

With laser treatment, there's just negligible uneasiness, normally only a minor stinging sensation to the endless supply of the laser beats, however topical analgesic cream can make any treatment increasingly agreeable.

On the off chance that you need assistance picking a corrective method, we give a broad scope of restorative systems for the face and body: Botox, Vaser Lipo, Lip Augmentation, Dermal Fillers and a lot more medicines, to help make a more youthful, slimmer, increasingly energetic looking you!

The Selston Cosmetic Clinic is situated in Selston, Nottingham, where we offer a bespoke help with a customized touch and convey high customer fulfillment. We have been associated with the restorative business for more than 10 years

To discover progressively about laser hair evacuation treatment at the Selston Cosmetic Clinic - http://www.selstoncosmeticclinic.com/laser-hair-removal.php

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To be straightforward I'm not by any means sure THEY even think about it either...

What's more, when I'm discussing THEY, I mean specialists and physical advisors. From what I've seen and perused the previous a long time since my 4 knee separations and resulting tendon reproduction in my left knee. There isn't anybody out there discussing explicit treatment to address total ceaseless knee torment end.



Sure you get notification from a medicinal point of view about physician endorsed drugs, shots/infusions into the knee, and knee medical procedures as treatment for interminable knee pain...But everybody realizes this, best case scenario is a "bandage" on the issue. 

At that point there's the "over the counter" approach where you have bunches of gels, creams and salves that make the knee feel hot/cold/numb, an entire host of knee wraps and supports, also the clothing rundown of pills to take and furthermore numb the pain...for a piece. 

In any case, is the entirety of this treatment truly working? 

Is any of this treatment truly working? 

From what I can tell it appears the "specialists" on knee treatment are, best case scenario giving "shots in obscurity" with respect to what is causing ceaseless knee torment. 

You will hear various reasons why your knee harms, the tendon or meniscus is torn and should be fixed. 
This was the explanation I was given when I had my knee medical procedure. 

Yet, prepare to be blown away. 

My knee still hurt for over a year after my ACL reproduction. So the genuine explanation I had interminable knee torment wasn't on the grounds that something in my knee was broken or torn. 

What's more, shouldn't something be said about the endless masses who go to the specialist and have a x-beam, a CT examine or a MRI and the specialist says, "Nothing is broken or torn." Yet they are as yet limping and repaying on the grounds that their knee harms.

At that point what?

I don't hear anybody venturing up and giving a decent consistent clarification of what the body is doing for this situation that doesn't seem like a legislator attempting to fence their answer so they won't lose in the prominence surveys.

Well here's the mystery.

I can't talk on WHY nobody else is discussing this. I will put forth a valiant effort to give a total and extensive clarification of WHY ceaseless knee torment happens. I will likewise provide a guidance with respect to what you can start doing about it.


So here it goes!

There is just ONE explanation and one explanation just why you will ever have knee torment. 

Presently give close consideration! 

Your sensory system resembles the dashboard in your vehicle. 

When something turns out badly in your vehicle like your motor, oil, or battery. That particular piece of your dashboard illuminates to give you a sign that something is going on with that segment of your vehicle. 

Your sensory system works in the extremely same manner. 

At the point when your knee harms, this is your body telling you that something is going on with your knee. 

This input is vital to understanding your knee issue. 

So the main explanation you have knee torment is on the grounds that the nerves in your knee are being pressed or meddled with somehow or another which is sending a sign to your cerebrum that you have knee torment. 

This is so significant is bears rehashing. 

The ONLY reason you have knee torment is on the grounds that the nerves in your knee are being pressed or meddled with here and there which is sending a sign to your cerebrum that you have knee torment.

The main way you will dispose of your knee agony and stop the aggravation, uneasiness, and further wearing of the knee joint is by starting to get the weight off of the nerves in your knee causing your knee torment.

This completes 2 things:

1.) There is a prompt and recognizable alleviation of the agony that you are encountering in your knee joint

what's more,

2.) This starts to arrangement the conditions your body requires to have the option to recuperate precisely what is new with your knee.

Approach knee torment from some other way and the comprehension of what is happening in your knee isn't far reaching enough to see the basic example in the body and get to the wellspring of your knee inconvenience.

Best case scenario you, your primary care physician, or your knee specialist is speculating about what is getting down to business.

Insights from the NIH (National Institute of Health) don't lie. The quantity of knee substitution medical procedures continue expanding each year with no sign of backing off. 

What's more, the arrangement is to grow better plastics and systems so they can accomplish more knee medical procedures. This doesn't sound good to me except if you are originating from the present medicinal worldview. 

Which is BIG TIME "employer stability!" 
Be that as it may, from a ceaseless knee torment sufferers perspective you are left to endure with your knee torment until you are mature enough to have a knee substitution medical procedure. The main explanation they hold up is on the grounds that they are paying special mind to your "eventual benefits" and not need to put you through such a boorish treatment more than once in your lifetime. 

They are relying on current futures with the goal that you will kick the bucket before you will require a second knee substitution medical procedure when the metal/plastic knee substitution joint bombs 12 to 15 years not far off. 

Another exhaustive and comprehensive way to deal with constant knee torment treatment is required and justified.

Anticipate more from your primary care physician and physical advisor. On the off chance that your knee torment has been enduring longer than 2-3 months and you have been just getting gradual upgrades.

Your knee treatment isn't generally working!

Request better outcomes and on the off chance that you get opposition or push back, discover another person to work with.

This is the way it must be all together for the worldview to change. The market will choose and you my companion, enduring with incessant knee torment are that market.

Bill supported extreme knee damage more than ten years back that necessary reconstructive medical procedure to his left side knee. This experience drove him on a way to make sense of how to ease the agony, strain, and uneasiness in his knee just as the remainder of his body coming about because of the knee damage and the resulting medical procedure. He presently shows others how to alleviate knee torment for themselves in their very own bodies through instruction about water, sustenance, activities, extending, and relaxing.

For more data on the subject of Knee Pain and to get a FREE Special Report on Knee Pain see: http://www.TheKneePainGuru.com

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The best urban areas to be a back rub advisor are the areas where there are the most assorted openings for work, social offerings and instructive focal points. The truth of the matter is that this occupation is relied upon to see extraordinary work increments. You can be a back rub specialist anyplace on the planet, even on a journey deliver cruising the oceans, yet a few urban areas are superior to others. The accompanying are viewed as the best urban communities to be a back rub specialist in the United States: 



1. Dallas, Texas: This is viewed as one of the best urban areas to be a back rub specialist since it is a noteworthy business and social focus where advisors can investigate a wide range of human services settings, for example, inns, resorts, spas and wellbeing focuses. There are many vocation openings and normal pay rates begin at $39,000 for late graduates.



2. Houston, Texas: This is the fourth biggest city in the United States, and it has turned into a multicultural center point of instruction, performing expressions, games and tourism. Beginning pay rates of $38,000 and plenteous vocation openings make this an amazing area to hone the recuperating expressions.

3. Phoenix, Arizona: With such a variety of chiropractic centers, wellness focuses, social insurance offices, therapeutic workplaces, resorts and spas taking into account proficient competitors, retirees and vacationers, this forsake city is perfect for back rub. Normal pay rates of $42,000 and extraordinary interest for back rub specialists sweeten the arrangement.

4. San Diego, California: It's anything but difficult to perceive any reason why this is one of the best urban areas to be a back rub specialist just from the warm, sunny shorelines that call to vacationers year round. Individuals cherish sound living here, and there is a colossal resort and spa tourism industry, so a back rub school degree can help you gain a $42,000 normal pay and a solid employment.

5. Seattle, Washington: This northwest waterfront city has the most noteworthy normal pay rates for back rub specialists at $45,000, and neighborhood inhabitants tend to grasp the recuperating expressions. There are both open and private back rub treatment practices to browse all through the city.

These main five best urban areas to be a back rub specialist incorporate sprawling cities, a leave desert garden and waterfront problem areas. They are all superb urban areas to start or proceed with a profession as a back rub specialist.

Discover beat rub schools [http://www.massageschoolsu.com/] or rub treatment degree program today and begin your way to a compensating profession. MassageSchoolsU.com is an online back rub degree site offers data about top back rub treatment schools [http://www.massageschoolsu.com/] of USA and Canada that are putting forth best back rub degrees program in different teach.

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So it's at last official. Some have been sitting tight years for it, for basic words offering legitimacy to their callings and acknowledgment for their lives' work. Some of their forerunners have been holding up hundreds of years. 


Harvard scientists let it out now; so do the constantly expanding number of once-suspicious, now-amazed patients. "It works," they say. "By god, it works." Such proclamations, articulated by powerful experts, is introducing another period of present day medication. The Consortium of Academic Health Centers for Integrative Medicine, which incorporates such prestigious colleges as Harvard, Duke, Stanford, and the University of Texas Medical Branch, discharged a report declaring - for the last time - that specific "option" rehearses do, truth be told, have strong logical sponsorship.

The way that a gathering of regarded American medicinal researchers has gone to a concurrence on a more extensive extent of medications once thought to be "option" could change the social insurance industry, and have vital ramifications for the medical coverage industry. The quantity of reciprocal facilities has been developing in even ordinarily preservationist urban areas like Austin, Dallas, and Houston; it won't be long until naturopaths, hynotherapists, botanists, and acupuncturists are basic across the nation.

Despite the fact that various reviews have been led affirming the viability of specific reciprocal medications, the vast majority of them have been on secluded practices and conditions. To a specific degree, this is essential - carefully and gradually isolating factors from controls - so as to figure out what works from what doesn't. Brian Berman, chief of the Center for Integrative Medicine at the University of Maryland School of Medicine, for example, drove the longest and biggest randomized, controlled Phase III clinical trial of needle therapy's impact on osteoarthritis of the knee. An old Chinese practice, needle therapy has been utilized for over two centuries to calm torment, support the insusceptible framework, and treat an assortment of afflictions through the inclusion and incitement of modest needles at specific areas on the body. Patients' agony and knee capacity were evaluated at standard interims, and last outcomes uncovered that needle therapy patients diminished their torment by 40%, and enhanced knee work by a similar edge.

Other promising examinations on the adequacy of needle therapy incorporate the current German review that assessed how well the train took a shot at 1,200 patients with back torment. Like Berman's review, it was the biggest and most broad endeavor to record needle therapy on a specific condition. Half of all patients accepting authentic needle therapy experienced noteworthy agony alleviation, and just fifteen percent, versus fifty-nine percent getting ordinary medicines, required torment prescription.

Remarking on his review, Berman commented, "These results...indicate that needle therapy can fill in as a successful expansion to a standard regimen of care and enhance personal satisfaction for knee osteoarthritis sufferers. The [National Center for Complementary and Alternative Medicine] has been building an arrangement of essential and clinical research that is currently uncovering the power and guarantee of applying stringent research techniques to antiquated practices like needle therapy."

Apparently, the Consortium accepts - in a couple of medicines, as well as in a few unique sorts of them. At the highest point of the Consortium's rundown, maybe as anyone might expect, is needle therapy, one the most seasoned restorative strategies on the planet. Different top choices on the Consortium's rundown were calcium, magnesium, and vitamin B6 for pre-menstrual disorder, St. John's Wort for melancholy, guided symbolism for agony and nervousness, and glucosamine for joint torment.

Calcium, magnesium, and vitamin B6 "can hugy affect crankiness, bloating, and on overwhelming periods," said Dr. Tracy Gaudet, official chief of Duke Integrative Medicine at Duke University Medical School.

While the herb St. John's Wort has been examined with blended outcomes throughout the most recent quite a long while, it is as yet a standout amongst the most regularly endorsed solutions for melancholy in Europe, and was positioned as the third best option treatment by the Consortium. "It's justified regardless of a strive for mellow to direct discouragement," said Andrew Weil, originator and executive of the Program in Integrative Medicine at the University of Arizona. "Recall that it will take six to two months to see an impact."

What's more, glucosamine as a solution for joint torment has demonstrated momentous outcomes, too. Dr. Frederick Hecht, chief of research at the Osher Center for Integrative Medicine at the University of California, San Francisco, thinks so. "It's sheltered and it looks successful. It might be the main thing that really turns around ligament misfortune in osteoarthritis."

"All things considered, we realized that," said Darryl, knead advisor and long-lasting promoter of integral drug. He murmured. "Can any anyone explain why nobody tunes in until it's past the point of no return? We've been telling individuals that [glucosamine chips away at joint pain] for a considerable length of time, and what number of have endured, supposing it didn't work?"

Truth be told, one of the significant obstructions to the viability of numerous reciprocal practices may not be simply the orders, but rather the nature of items and specialists utilized. Herbs, for example, must be sourced from a quality plant and developed in the correct condition, with the best possible care, to guarantee all parts are of the most astounding strength. They should be put away appropriately, which incorporates representing materials, light, and temperature, made painstakingly to safeguard the sensitive substance adjusts, and taken at the opportune time, at the correct measurement. Grabbing a low-quality glucosamine supplement, for example, may not yield a similar positive outcomes a superior quality item would.

"The greatest slip-up individuals make is they don't get a decent item," said Mary Hardy, therapeutic executive of the Sims/Mann - UCLA Center for Integrative Oncology. The Consortium's site gives an asset to finding affirmed specialists from legitimate schools.

Strong's announcement brings up a fascinating issue. Could past reviews on herbs and other corresponding practices be impacted by the nature of the item? Could a few examinations' negative outcomes be a consequence of second rate sources? Controlling for quality, instead of for just consistency alone, may give diverse results.

"Indeed, we're arriving," said Darryl. "It may not be totally precise to attempt to test non-Western practices with Western methods, however in any event they're attempting to approve what the greater part of us definitely know. It's quite recently too awful they didn't do it years prior." He grins. "I may have been bringing home the bacon on the off chance that they had."

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Online direction is picking up force in school settings, and additionally in the supplemental instruction showcase, e.g., coaching, test-prep, instructional courses, proceeding with training, and the sky is the limit from there. School educators, secondary teachers, and showing fans are exploiting the web based learning apparatuses to achieve a more prominent understudy pool, and win cash. 


Not at all like ordinary classrooms, notwithstanding, educating on the web presents one of a kind difficulties. Online educators ought to have certain attributes to make web based taking in a rich and important instructive experience.

• Be Knowledgeable

As an instructor, be learned about the topic. Online educators, similar to all instructors, ought to be equipped. Online educators should be energetic about the theme and aware of the new medium of instructing.

• Possess Writing Skills

While online classes possibly video-empowered, the majority of web based educating is through composed correspondence. Online educator ought to be happy with conveying in composing.

• Ask for Feedback

Request input from understudies on the direction, and additionally the material. Understudy criticism is pivotal for educators to refine their internet showing strategy and the substance being advertised. Since there is no eye to eye cooperation, online educators can find out about what works (and what doesn't) by requesting criticism.

• Give Feedback

Keep understudies occupied with the online class by giving steady input. Understudies can frequently feel "lost" in a virtual classroom. Educators ought to give understudies auspicious and helpful input. Having normal correspondence with understudies as for their inquiries, concerns, and advance is essential to keeping up understudies' inspiration and guaranteeing achievement.

• Set Deadlines

Due dates are essential to keep the work process moving. For instance, set due dates for your own lesson arranges, understudy assignments, meeting investment, and all other work to take the class to fruition.

• Be a "Modeler"

Deliberately configuration class syllabus/lesson arrange, goals, desires, and strategies. Regardless of whether you are instructing a course with different sessions or a one-time class, it is vital be arranged and to set these sorts rules at the beginning.

• Be a Participative Facilitator

Online classes don't show themselves. To make a powerful web based learning condition, show up and educate. Remember, addressing may not be the best strategy to give information on the web. Rather, encourage examination by evoking remarks and perspectives from understudies.

• Sense of Humor? Not Required

Since the vast majority of web based educating is composed, recollect that talked amusingness does not really interpret well when worked out. Know your crowd. Avoid disputable interesting issues.

• Basic Technical Know-How? Required

For successful figuring out how to happen, the conveyance of materials ought to be consistent. Online teachers ought to have essential familiarity concerning the innovation and community oriented devices. If necessary, there are many free assets accessible on the Internet that furnish online educators with specialized information to keep yourself refreshed.

- Lilly Golden, Examville Blog Contributor

Lilly Golden is a Blog Contributor at http://www.Examville.com. Examville is a worldwide online instruction stage where clients can associate and connect with others from around the globe. Our inventive stage makes an open, virtual meeting place that takes into account learning without outskirts. Examville encourages online client to-client community oriented learning at a moderate cost.

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A wrongdoing is a demonstration conferred infringing upon an open law restricting or instructing it. Criminal law includes indictment of a man by the administration body for a demonstration that has been delegated a wrongdoing by the state laws. Criminal cases incorporate both grave offenses like murder and assault, to less genuine offenses like robbery or trespassing.


 Criminal laws fluctuate from state to state. In Arizona, similarly as in some other state, criminal law is exceptionally intricate. In the event that you are blamed for a wrongdoing, you should search for a decent Arizona criminal guard attorney to help you.

On the off chance that you have been blamed for a wrongdoing or confronting charges for infringement of Arizona's criminal laws, there is a shot of imprisonment, a fine or a mix of both. With a specific end goal to secure your opportunity, you will require a specialist criminal protection legal advisor.

A specialist criminal legal counselor can direct you with the best strategy in your circumstance, and can fortify your case by demonstrating confirmations in your support to demonstrate your purity. In a most dire outcome imaginable, the legal advisor will consult with the prosecutor to mastermind lessen charges against you. A very much experienced criminal legal advisor can wisely assemble data from the arraignment witnesses and employ and oversee agents who might have the capacity to repudiate the indictment witnesses.

On the off chance that you have been captured, it is critical to procure a criminal safeguard lawyer promptly. Your flexibility is at hazard, and you require a legal advisor who has a decent track recording and offers sensible charges.

Arizona Lawyers [http://www.WetPluto.com/Arizona-Bankruptcy-Lawyer.html] gives nitty gritty data on Arizona Lawyers, Arizona DUI Lawyers, Arizona Criminal Defense Lawyers, Arizona Divorce Lawyers and the sky is the limit from there. Arizona Lawyers is subsidiary with Colorado Employment Lawyers [http://www.WetPluto.com/Colorado-Criminal-Lawyers.html].

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