Month: December 2016

Achilles tendon diagnosis methods

The Achilles tendon is a strong, fibrous band that connects the calf muscle to the heel. Two muscles form the calf, the underlying soleus and the thick outer gastrocnemius. Together they form the gastroc-soleus muscle group. When these muscles contract, they pull on the Achilles tendon, causing the foot to point down and helps to rise on the toes. This powerful muscle group helps when jumping, climbing. Several different problems can occur that may affect the Achilles tendon, some may be minor and some quite severe. It is not entirely clear that why this problem is caused in some person and not in others. Changes in the normal alignment of the foot and lag may be part of the problem. Person with one leg shorter that the other is at increased risk of Achilles tendon problems. For the athlete, sudden increase in training may be a key factor. Other risk factors may also include obesity, diabetes, exposure to steroids and taking antibiotics. Some individuals can strands of the tendon that may become jumbled due to the degeneration, other fibers break, and the tendon will also loses strength. Tiny tears in the tissue around the tendon occur with overuse and the weakened, degenerative tendon sets the stage for the possibility of actual rupture of the Achilles tendon.


Achilles tendonitis usually occurs further up to the leg and it is found just above the heel bone and the tendon in this region may also be thickened and tender to touch. Pain is present while walking, especially when pushing off on the toes. Diagnosis of Achilles tendon problems is almost made through clinical history and physical examination and it is used to determine specifically where the leg hurts. Feeling any abnormalities in the tendon and muscle function may also be included, the clinically history and examination is usually enough, however the diagnostic Ultrasonography is very accurate and it is preferred to determine the stage and extent of Achilles tendinopathy. ACHILLES TENDON treat in Manhattan has highly skilled physical therapists diagnose chronic Achilles tendinopathy by combining many diagnostic methods and approaches. One of the technologies they use in diagnostic is ultrasound, which gives doctors a real time view and is able to see possible severity of the injury. Another modality they have their complete GAIT analysis lab, to examine the different vectors of a runner’s body, which includes individual levels of stability, flexibility and also strength.

Alcohol limits cut to reduce health risks

The UK’s chief medical officers say new research shows any amount of alcohol can increase the risk of cancer.

The new advice says men and women who drink regularly should consume no more than 14 units a week – equivalent to six pints of beer or seven glasses of wine.

Pregnant women should not drink at all.

It also says if people drink, it should be moderately over three or more days and that some days should be alcohol-free.

Nor should people “save up” their units and drink them all in one or two goes. Heavy drinking sessions increase the risk of accidents and injury, it says.

Low-level drinking

The guidance marks the first full review of alcohol guidelines since 1995, although updated advice on drinking in pregnancy and for young people was published in 2007 and 2009 respectively.

In relation to pregnant women, the new guidelines bring the rest of the UK in line with Scotland and recommend that pregnant women should not drink at all.

It marks a subtle shift from previous guidance for people in England, Wales and Northern Ireland which, while suggesting they should not drink, said that if they did, it should be no more than one or two units of alcohol once or twice a week, and they should not get drunk.

How the advice has changed

Previous government guidance set out daily drinking limits of three to four units for men and two to three for women. The new guidance moves to weekly limits to get away from the idea that drinking every day is fine.

The new 14 units limit therefore represents a cut in drinking levels for both men and women, although since 1995 doctors’ groups have been advising that over the course of a week men should limit themselves to 21 units and women 14 units – the lower end of the daily range the government has been advising. So in effect the government guidance has caught up with the medical advice – and gone a bit further.

On drinking in pregnancy, the new advice is unambiguous. Women should not drink. Previously women in Wales, Northern Ireland and England had been told not to drink but if they did to limit it.

The latest guidance makes it clear people should be teetotal on some days and that heavy drinking sessions should be avoided. The 1995 guidelines did not set this out categorically.

The old advice suggested that men should drink no more than three to four units a day and women two to three, with a 48-hour break after heavy drinking sessions.

But now the guidance does not differentiate between men and women, reducing recommended intake to 14 units across the whole week. The fear was that by having a daily limit it suggested it was alright to drink every day.

The guidance makes it clear that should not happen, and there are no safe drinking levels – with the exception that women over the age of 55 can get some benefit to their hearts from a small amount of drinking of up to five units a week.

Some studies have suggested low-level drinking could protect men from heart disease but the guidance says this is no longer the case.

This is likely to be down to an over-estimation of the benefits of drinking and the fact that society has got better at preventing heart disease.

Another major factor in the new guidance is the evidence that has been found in terms of alcohol increasing the risk of cancer.

It says the evidence suggests the risk of a range of cancers, such as mouth, throat and breast, increases with any amount you drink on a regular basis.

It says the links with cancer were not properly understood in 1995.

The new recommendations mean the UK has tougher limits for alcohol intake when compared to other European countries such as Demark, France, Spain and Italy – which all allow both men and women to drink more units of alcohol per week.

The 14-unit limit has been chosen because at that point, your drinking leads to a 1% risk of dying from alcohol-related causes.

This has been deemed to be an acceptable level of risk as it is approximately the same risk that someone has when they do an every day task such as driving a car.

‘Informed decisions’

England’s Chief Medical Officer, Dame Sally Davies, said: “Drinking any level of alcohol regularly carries a health risk for anyone, but if men and women limit their intake to no more than 14 units a week it keeps the risk of illness like cancer and liver disease low.”

She added the aim of the guidelines was to give the public the most up-to-date scientific information to allow them to make “informed decisions” about their drinking.

Prof Sir Ian Gilmore, chair of the Alcohol Health Alliance, said the new advice was much-needed.

“People have a right to know the risks associated with drinking alcohol.

“Only with accurate and transparent information are people able to make an informed choice about how much alcohol they consume.”

Prof Sir David Spiegelhalter, an expert in understanding risk from the University of Cambridge, said it was important to put the 1% risk in context. He said an hour of TV watching or a bacon sandwich a couple of time a week was more dangerous.

“It all seems to come down to what pleasure you get from moderate drinking,” he added.

Meanwhile, the Portman Group, which speaks for the drinks industry, said the UK was breaking with established international precedent by recommending the same guidelines for men and women.

“It also means that UK men are being advised to drink significantly less than their European counterparts,” a spokesman added.

Ending Teen Smoking

A recent survey found that only 9% of teens in the United States smoke cigarettes. That’s down from 23% in 2000. It’s less than the numbers of landlines still in use and the number of VHS tapes sold in 2013. While this is good news for America’s overall health, tobacco use is still a problem.

Cigarettes have been linked to cancer, lung disease, diabetes, heart conditions, and high blood pressure. Despite knowing the health effects, teenagers still smoke. According to the American Lung Association, every day almost 3,900 children under 18 years of age try their first cigarette, and more than 950 of them will become daily smokers. If the trend continues at its current rate, 5.8 million children alive today will die as a result of smoking.

The Truth campaign is working to end teenage smoking all together. Their latest #FinishIt series uses social media to spread awareness about the dangers of smoking. “If we all join forces – smokers and non-smokers – we can end smoking once and for all,” the campaign website states. The campaign encourages teens to not judge, but instead to learn the facts. “We’re not here to criticize your choices, or tell you not to smoke. We’re here to arm everyone – smokers and non-smokers – with the tools to make change,” they say.

Another Issue Surfaces

Anti-smoking campaigns may have a new problem to worry about. A 2013 report from the Center for Disease Control found that use of electronic cigarettes, battery-powered devices, is on the rise. High school students who reported ever using an electronic cigarette rose from 4.7% percent in 2011 to 10% in 2012.< increased use of e-cigarettes by teens is deeply troubling,” said CDC Director Tom Frieden, M.D., M.P.H. “Nicotine is a highly addictive drug. Many teens who start with e-cigarettes may struggle with a lifelong addiction.”

Scientists are still researching exactly how harmful e-cigarettes are.. “This is cause for great concern as we don’t yet understand the long-term effects of these novel tobacco products,” said Mitch Zeller, director of FDA’s Center for Tobacco Products.

Secondhand Effects

According to the CDC, harmful effects of smoking do not end with the smoker. An estimated 88 million nonsmoking Americans, including 54% of children between the ages of 3 and 11, are exposed to secondhand smoke. Even brief exposure can be dangerous.

“The question we get from health care providers is: how serious are you about health?” says Troy Brennan, chief medical officer at CVS Caremark. “This decision indicates exactly how serious we are.”

With the obvious danger of tobacco, anti-smoking campaigns have become more popular. Some college campuses and other outdoor areas across the country have banned smoking altogether.

As of October 27, 21,615 children and teens have joined the Truth campaign and pledged not to smoke. The group hopes that they can give teens and young people the knowledge to “be the generation that ends smoking.”

Treat your Skin Cosmetically with successful Dermatological Procedures

Our skin is an extremely sensitive part of our body that requires regular looking after and care in order to keep unwanted ailments at bay. Apart from the medical conditions like rashes and cancer, the skin endures a whole lot of cosmetic flaws which need to be attended to, in order to appear good. The advancement of science and technology has allowed the inclusion of numerous cosmetic dermatological procedures in today’s world.

The American society of Plastic Surgeons, every year conducts a survey to find out the most popular cosmetic treatments of dermatology, based on that, the following are most popular ones. Among the various places that you can avail of the following treatments, DermASAP, a dermatology specialist service around the Boston communities is very reliable. There is great variety of alternative treatments that you can select from depending upon your requirement.

In fact, the famous dermatologist, Dr. Kenneth Reed is the head of the faculty at this service provider. His experience and the joint efforts of his able and efficient team of doctors conducts each and every procedure with utmost precision and success. All types of dermatological treatments are available here, be it surgical, cosmetic or even medical.

Occupying the first spot among the procedures in vogue is the the Botox and Dysport. The creases and wrinkles of the skin are rectified by these two treatments. These are basically two injectables and are primarily muscles relaxers. The ‘frown lines’ to be specific are corrected by this treatment.

The US is the place where Botox is the most widely practiced. When the wrinkles of the skin are deeper, they need to be treated by the procedure known as Dermal filler. This is the next in line, in terms of popularity. The so called ‘valleys’ of the skin are filled by these fillers effectively, resulting in a younger appearance of the face.

There are other ways of rejuvenating your skin too, among them are the chemical peels. These peels remove that upper layer of the skin that has become damaged to reveal smooth, and flawless skin. They reduce the scars or freckles on the skin too, to a considerable extent, giving way to fresh and brand new skin.

The DermASAP dermatology service provider very systematically and methodically makes these services accessible to its patients. Apart from the above mentioned treatments they offer a host of other treatments that have received very good reviews from its users. They have Laser hair removal for unwanted hair, micro-laser peels, Cool-sculpting, treatments for acne, eczema and even the treatment and diagnosis of cancer is done here. In a nut shell, any problem that you experience with regard to your skin can be easily sorted out at this one place.

The Microdermabrasion has been another treatment in vogue over the past years. This is also known as microderm and is capable of smoothening the fine lines of the skin. This is a very good treatment for skin damage due to the sun’s rays. The facial skin is exfoliated and treated very carefully to give you a better looking skin.

Cialis, Viagra or Kamagra – Which one is the best?

There are many people asking the same question – which is the best drug for treating erectile dysfunction? Of course, there is no universal answer to this question because some men had success with one of these pills while others found others to be more effective. All these drugs have differences and similarities and by learning more about them, you should be able to find that will provide the best results for you.

What is Kamagra?

Kamagra is a pharmaceutical drug used to treat impotence in men. It works by relaxing blood vessels in the genital area and boosting blood circulation which results in very strong erection. They work only when the man is sexually stimulated. Kamagra pills contain sildenafil, the same active ingredient found in Viagra. Besides sildenafil, Kamagra contains calcium hydrogen phosphate, hypromeliose, triacetin and croscarmellose sodium. It is good to mention that Kamagra lasts for about 4 hours and they should be taken about 60 minutes before the sexual intercourse begins. You can learn more about Kamagra and order Kamagra here

What is Cialis?

What is Viagra?

Viagra is the oldest and best known medication for treating impotence in men. It provides the positive effects about 60 minutes after intake. Viagra should be consumed on an empty stomach. The effects of Viagra last for up to six hours. Most of its effects come from the active ingredient known as sildenafil citrate. As you can see this is the same ingredient found in Kamagra. According to some experts, the fact that Viagra is older and more popular is the only reason why Viagra is more expensive than Kamagra.

Should I use Cialis, Viagra or Kamagra?

The truth is that there are many different drugs used for fighting erectile dysfunctions and they don’t have the same effects in all men. Some say that it is the best to try each of them in order to find out which one suits you the best. In addition, users should not be discouraged in case they don’t notice results after they consume some pill for the first time. They should try it at least four times before trying a different pill.

It is possible to buy Cialis, Viagra and Kamagra safely on the Internet through Apteka Kamagra. In this way, users will be able to save some time and money and rest assured that they are getting high-quality medications.


What Makes a Healthy Diet?

A healthy diet doesn’t require a lot of money or newfangled appliances or subsisting on any kind of scheme that sounds like a gimmick. Because it’s true what they say about what seems too good to be true: Eating well means listening to that little voice inside that knows what healthy foods generally look like – fresh and recognizable in nature – and what they don’t – prepackaged and processed.

That sensibility may not fit so well with our on-demand culture, where we want results now – be it dinner or weight loss. But if you want a program that works for the long run, you’ll need a lifestyle you can live with and like. That means a diet that’s nutritious and delicious, but one that will take a bit of planning and commitment from you.

“People are so desperate to lose weight that it’s really weight loss at any cost,” says Madelyn Fernstrom, founding director of the University of Pittsburgh Medical Center Weight Management Center and author of “The Real You Diet.” And when that desperation sets in, says Fernstrom, “normal thinking goes out the window.” Who cares if the forbidden-foods list is longer than “War and Peace”? Pounds are coming off. You’re happy. But your body might not be.


With our Best Diets 2016 rankings, you can check the nutritional completeness and safety of 38 popular diets, from Atkins to the Fertility Diet to Weight Watchers, in a detailed profile crafted for each one. (The profiles also cover scientific evidence, typical meals and much more.) And U.S. News’ Best Diets for Healthy Eating rankings give each diet a “healthiness” score from 5 (best) to 1 (worst) for safety and nutrition, with safety getting double weight; while you can modify a diet to some degree to adjust for nutritional imbalances or deficiencies, mere tweaking won’t make an unsafe diet safe.

Behind these scores are ratings by a panel of diet and nutrition experts assembled by U.S. News. They assessed the diets across seven categories, including the safety and nutritional completeness categories, for a series of nine different rankings lists. The Best Diets for Healthy Eating rankings overlap significantly with Best Diets Overall. Both give especially high marks to the DASH, MIND, TLC, Mediterranean, Mayo Clinic and Volumetrics diets.

“The ones that get high scores in safety and in nutritional value – they’re very similar to each other,” says Andrea Giancoli, a registered dietitian who serves on the U.S. News expert panel. The recurring theme across the diets that excelled in healthiness is adequate calories supplied by a heavy load of vegetables, fruits and whole grains; a modest amount of lean protein, nonfat dairy and healthy fats; and an occasional treat. Plants are the foundation, and the menu is always built around minimally processed meals made from scratch.

Because plant-based eating patterns are so healthful and growing in popularity, U.S. News also offers a Best Plant-Based Diets category. And given the rise of food intolerances and sensitivities, we’ve included profiles of diets that are said to ease digestive distress – the gluten-free and low FODMAP diets. These are not ranked, however, as they are not intended for general dietary needs.

Very few diets on the Healthy Eating list are overtly unsafe or severely deficient nutritionally. The only plans to receive healthiness scores below 3 were the Paleo, Raw Food, Macrobiotic, Fast, Dukan, Supercharged Hormone, Atkins and Whole30 diets. They’re simply too restrictive, say our experts, who call their nutritional qualities into question. The meat-heavy Paleo diet bans grains and dairy, so getting adequate calcium and vitamin D isn’t easy. Atkins, by severely curbing carbs, blows past recommended caps for total and saturated fat. Depending on your personal approach to the Raw Food Diet, you may shortchange yourself on calcium, vitamin B-12 and vitamin D; its restrictive cooking rules also could put you at risk for eating raw or undercooked ingredients.

If you have reservations about a diet’s nutritional content or safety, listen to your body. Fatigue, sleeplessness, dizziness, aches – they’re all red flags. Says Fernstrom: “Losing weight is for good health, so you should feel more vital – not bad.”

Big Backpacks Equal Big Problems

Like little turtles with limbs poking out from their shells, kids shuffle their way to school every day wearing giant backpacks. Even high school students have to bend forward to lug their heavy books and binders to and from school. It’s frustrating and looks a little silly, but is it dangerous?

Yes, say many experts. “Kids are saying ‘My back hurts, my neck and my shoulders hurt,’” says Dr. Karen Jacobs, a clinical professor at Boston University. “A heavy backpack can also contribute to headaches and problems concentrating at school.”

Jacobs is also a spokesperson for the American Occupational Therapy Association, which sponsors a national school backpack awareness day on September 16. She says crowded schools and less locker space may be making backpacks bigger. “Since at least 1998, we’ve noticed backpacks getting bigger and heavier, and not in proportion to the kids’ sizes,” Jacobs says.

Reporting Back Pain

A 2010 study from the University of California, San Diego, concluded, “backpack loads are responsible for a significant amount of back pain in children.” The same study says a full third of kids ages 11 to 14 report back pain. Other research from 2011 came to a similar conclusion.

Like the frame of a house, the spine is what keeps bodies sturdy and upright. Put too much weight on this frame while a young body is still developing, and it could change a child’s posture, compress the spine, and impair growth, says Rob Danoff, a doctor of osteopathic medicine with Philadelphia’s Aria Health System. “It also might contribute to back problems or injuries when the child’s older,” he says.

Backpack Tips

Danoff says proper fit and design are important to relieve pressure from the spine and shoulders. You want a backpack that’s made for your size. Padded shoulder straps and a cushioned back will also prevent aches and pains. Small roller bags are an option, but some schools do not allow them because they pose tripping hazards, or may litter classroom aisles or hallways in the event of a fire.

How heavy is too heavy? “As a general rule, research shows the backpack should be no more than 10 to 20 % of a child’s body weight to avoid pain or potential injury,” Jacobs says. “We like to recommend 10 %.” For an elementary school child who weighs just 50 or 60 pounds, a couple textbooks and lunch could push a pack beyond the safe threshold. For that reason, Jacobs says it’s important that kids are carrying only what they need. “We’ve noticed that students are taking lots and lots of water to school with them, which is a lot of extra weight,” Jacobs says. She recommends packing an empty water bottle and filling it at school. Another tip is to pack the heaviest items in the middle of the pack, closer to the back.