Category: Knee injury

  • Turning the Page to Good Bone Health – Bone Talk

    Turning the Page to Good Bone Health – Bone Talk

    shutterstock 143247136 3

    October isn’t just the month of falling leaves and pumpkin-spiced lattes; it’s also National Book Month! Like a well-written novel, our bones have their own story, and it’s up to us to make sure it’s a story of strength and resilience.

    The prologue: family history

    Knowing whether there is a history of osteoporosis or fractures in your family can provide valuable insight your own risk factors. Genetics plays an important role, and a family history of these conditions can increase your susceptibility. By recognizing this family bond, you can take proactive steps to protect your bone health through lifestyle choices, regular checkups and early screenings. This knowledge will allow you to create a healthier story for yourself and potentially break the cycle of bone health problems, ensuring a stronger, more resilient future.

    Chapter 1: Building a solid foundation

    Every great book starts with a strong opening chapter, and your journey to bone health is no different. You need to lay the foundation for strong bones early in life. Childhood is the crucial period for bone building that is the cornerstone for lifelong skeletal health. This phase is crucial because our body builds up bone mass more quickly peak bone mass usually reached in the late teens or early twenties. It’s the time when the choices we make in diet, physical activity and overall lifestyle have a significant impact on our skeletal strength for years to come. Neglecting this critical period can lead to weaker bones, making people more susceptible to fractures and conditions such as osteoporosis as they get older. That’s why focusing on bone health during childhood is a long-term investment in a healthier and more active future.

    Chapter 2: The main characters

    In the literary world, characters drive the plot forward, and in the world of bone health calcium and vitamin D play leading roles. These essential nutrients help your bones stay strong and resilient. Just like finding the perfect cast for a movie adaptation, be sure to include dairy products, leafy greens, and fortified foods in your diet to get your daily dose of calcium and soak up the sun for vitamin D. Other nutrients such as vitamin C, vitamin K, potassium and magnesium also play an important role.

    Chapter 3: The Plot Twist

    Osteoporosis is a bone-weakening condition that can sneak up on you like an unexpected twist in a mystery novel. The disease causes a gradual weakening of bone density and quality, making them more vulnerable. Over time, this imbalance can lead to porous, brittle bones, increasing the risk of fractures, especially in the hip, spine and wrist. Osteoporosis often progresses without symptoms until a rupture occurs, earning it the nickname “the silent disease.” Talk to your healthcare provider about when to get a bone density test, especially if you’re at risk.

    Chapter 4: Making choices

    In literature, characters often face challenges and have to make life-changing decisions. Likewise, in the quest for good bone health, you have the power to make positive choices. Regular physical activity, including weight-bearing exercises and strength training, can help keep your bones strong and resilient. Also consider your lifestyle choices: avoid excessive caffeine and soft drink consumption, and don’t forget the importance of: good night.

    Chapter 5: Aging gracefully

    As we reach the final chapter of our bone health story, it’s essential to remember that aging is a natural part of life, like the closing words of a beloved book. With proper care and attention, you can age gracefully and maintain good bone health. Please note how menopause and hormonal changes can affect your bone density. Continue to eat well, stay active, and consult your doctor for advice on supplements or medications if necessary.

    Epilogue: The joy of reading

    Just as a well-written book can transport you to different worlds, a healthy body can take you on countless adventures. In the words of Louisa May Alcott, “She loves books too much, and it has changed her brain.” Well, you can never love good bone health more! And if you like books on cassette or podcasts, consider it to coordinate to develop health-related content that you can learn while reading or listening. As we celebrate National Book Month, remember that your bone health story is one you can influence, shape and improve. Let your journey be a page turner full of strength, resilience and a happy ending. After all, the story of your bones is a story worth telling and living to the fullest.

    Recommended reading list

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  • Top health benefits of walking on earth

    Top health benefits of walking on earth

     

    “The foot feels the foot when it feels the ground.” – The Buddha

    Now that winter is finally over – after what seems like forever – more and more of us are going outside and being active. It is a time when I like to go for a walk and watch the world awaken from its long sleep.

    Walking is one of the most useful exercises we have because it offers us So many important health benefits, as listed by many, many studies:

    • Even one hour per week at an average pace reduces the risk of hip fracture by 6% in postmenopausal women, while at least four hours of walking per week is associated with a 41% lower risk of fracture (Feskanich et al., 2002).
    • Walking reduces the tendency for high blood pressure, the risk of blood clots and stroke, and multiple cardiovascular risk factors (Murtagh et al., 2015).
    • In older adults, more walking correlates with a lower risk of depression and a higher quality of life (Arrieta et al., 2018).
    • Brisk walking improves oxygen intake, cardiovascular fitness and muscle tone while alkalizing the body.

    But I would say that simply hopping on a treadmill for 10 to 15 minutes every other day, while providing all these benefits and more, somewhat misses the point. To walk outdoors gives us the chance to reconnect with the world around us – ideally in a soothing natural setting such as a park or trail, or at least a tree-lined sidewalk. Research shows that people who walk in parks tend to gain more benefits because they have fewer interruptions when walking due to traffic or other hazards to overcome [Sellers et al., 2012]).

    When we walk outside, we can enjoy the wind, the rain, the sun, the leaves – everything the world has to offer. And it reconnects us ourselves in a very useful way: walking upright on two legs is the trait that defines human ancestry. Although today we are more accustomed to sitting than standing, regular walking on two legs is considered a unique human trait. Taking the time to walk—to put our feet on the ground and feel them, as the Buddhist saying goes—can offer us a kind of inner realignment that few other methods of practice offer.

    As we approach summer, we have the opportunity to celebrate all the positive things that walking brings us. If you can, take that opportunity in a park or garden path; let your feet touch the ground, aware of all the good that walking in the open air can bring you.

    But if you can’t, don’t worry! It doesn’t matter how you want to do it – in groups, alone, fast or slow, listening to music or meditating – just walk. Do it on a regular basis. Do it 30 minutes a day, add some weight from a weighted vest or weighted belt for even more impact and your bones and entire body will thrive.

    References

    Arrieta H, Rezola-Pardo C, Echevarria I, et al. Physical activity and fitness are associated with verbal memory, quality of life, and depression among nursing home residents: preliminary data from a randomized controlled trial. BMC Geriatr. March 27, 2018;18(1):80. doi:10.1186/s12877-018-0770-y.

    Feskanich D1, Willett W, Colditz G. Walking and leisure activities and risk of hip fracture in postmenopausal women. JAMA. November 13, 2002; 288(18):2300-2306.

    Murtagh EM, Nichols L, Mohammed MA, et al. The effect of walking on cardiovascular disease risk factors: an updated systematic review and meta-analysis of randomized control trials. Previous Med. March 2015; 72:34-43.

    Sellers CE, Grant PM, Ryan CG, et al. Taking a walk in the park? A crossover pilot trial comparing brisk walking in two different environments: park and city. Previous Med. 2012 Nov;55(5):438-43.

    Dr. Susan BrownI am Dr. Susan E. Brown. I am a clinical nutritionist, medical anthropologist, writer and motivational person speaker. Learn my proven 6-step natural approach to bone health in my online courses.

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  • Why did I lose all my muscle after my ACL surgery?  Video

    Why did I lose all my muscle after my ACL surgery? Video

     

    After anterior cruciate ligament surgery or ACL surgery, you experience loss of muscle mass. You may have spent a few weeks or months building up your muscles after your ACL injury, so you may have assumed that your muscles would be strong and healthy after surgery. However, there are many reasons why you may lose muscle mass after ACL surgery. When you first wake up after your ACL surgery, you may notice that the muscles around your surgical leg already look smaller! The main reasons for this are that your activity level has generally decreased, your nervous system reduces the contraction of the muscles around the knee, and new swelling occurs in your knee joint as a result of the surgery. Read this blog for more information about muscle loss after ACL surgery.

    Below, listen to Andrew Veley, a physiotherapist, talk about why you may lose muscle mass after ACL surgery.

    Listen to Andrew Veley, physiotherapist, explain why muscle loss occurs after ACL surgery.

    After watching the video above, you may be wondering if there is a way to track your progress as you regain muscle mass after ACL surgery. A simple method called “thigh circumference measurements”, which you can learn more about by reading this blog on how to measure the difference between your two legs by taking a thigh circumference measurement. If you need a video explanation of what thigh circumference measurements are and how they can be used to track your progress, watch this short video.

    Here is Andrew’s full blog on muscle loss after ACL surgery.

    Read all 6 Andrew’s blogs here!

    If you are recovering from an ACL injury or ACL surgery and want to regain your muscle mass, download our Curovate physiotherapy app from the links below. Curovate offers daily video-guided strength exercises, the ability to measure knee range of motion, in-app chat with a physical therapist to answer your questions about surgery and recovery, and educational blogs and webinars.

    If you need more tailored help during your ACL recovery, check out our Virtual Physiotherapy page to book your 1-on-1 video session with a physiotherapist.

    acl knee physical therapy 1080x1080 2
    Download it on Google Play

     

    Other blogs related to ACL surgery and rehabilitation

    References

     

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  • Unlocking the Connection Between Stress and Bone Health: Live Your Life More Powerfully with Dr.  Tricia Pingel + BoneCoach™ – BoneCoach™

    Unlocking the Connection Between Stress and Bone Health: Live Your Life More Powerfully with Dr. Tricia Pingel + BoneCoach™ – BoneCoach™

     

    Are you one of the 80% of adults suffer from adrenal fatigue?

    Worried about how stress can silently sabotage your bones and contribute to osteoporosis?

    Ready to discover one groundbreaking, cost-free strategy that would revolutionize your bone health?

    Then you shouldn’t miss this episode!

    Come with me as I sit down Dr. Tricia Pingel, a licensed naturopathic doctor known as the Adrenal Whisperer. Delve deep into the mysteries of adrenal gland healthdiscover the surprising ties with stress and osteoporosisand find out how restore your bone strength and revive your vitality.

    Episode timeline

    0:00 – Episode begins

    1:37 – Introduction to Dr. Tricia Pingel

    3:08 – Dr. Pingel’s journey to tackling adrenal fatigue and stress

    5:06 – Identifying adrenal gland problems in men and women aged 50-70+ with osteopenia and osteoporosis

    6:40 – Recommended tests for suspected adrenal gland problems

    8:15 – The link between stress, adrenal glands and bone health

    11:39 – Everyday stressors that affect health

    15:14 – Actionable steps for self-assessment and improvement

    17:54 – The profound impact of intentional breathing on reducing stress, improving bone health and promoting overall well-being

    20:15 – Connection between thyroid and bone health

    24:02 – Dancing for healthier bones and better mental health

    30:05 – Simple ways to return to the present moment

    34:30 – Where to meet Dr. Pingel and how she can help you on your journey to better bone health

    Sources mentioned

    **Show notes @ https://bonecoach.com/drpingel-adrenal-fatigue-bone-health-connection

    Below you will find resources from Dr. Tricia Pingel!

    >> Read more about Dr. here. Tricia on her website!

    >> Connect with Dr. Tricia on Facebook

    >> Follow Dr. Tricia on Instagram

    >> Follow Dr. Tricia on TikTok

    >> Connect with Dr. Tricia on LinkedIn

    What can you do to support your bone health and this podcast?

    1. Press the “Subscribe” button on your respective podcast player (i.e. Apple, Google, Spotify, Stitcher, iHeart Radio and TuneIn). Never miss an episode that can help improve your bone health.

    2. Leave a review. The more positive ratings and reviews and the more subscribers we have, the more people can find us and get the answers to the questions they need. Thank you! 🙂

    3. Tell a friend about The Bone Coach Podcast or share via text, email or social. Do you know of a Facebook group where people can benefit from this information? Feel free to hit any of the share buttons below.

    About Dr. Tricia Pingel:

    Dr. Pingel, a certified naturopathic doctor, is known as the Adrenal Whisperer. She has dedicated almost 15 years of her career as an adrenal gland and stress expert.

    She helps Rockstar women look and feel great by restoring their adrenal glands without the use of drugs. Her specialty is identifying the cause of health problems and restoring health and youthful energy.

    Since learning that she was one of the 80% of adults suffering from adrenal fatigue, Dr. Pingel passionately taught about the impact that stress has on the adrenal glands. She has helped thousands of people restore their adrenal glands, resulting in the reversal of many other health symptoms, including perimenopause. Her greatest joy is guiding people to return to their happy, vibrant and energetic selves.

    Dr. Pingel has appeared in nearly a dozen television shows, including: The Dr. Ax Show, Ask the Expert with JJ Virgin, Good Morning Arizona, The Arizona Daily Mix with Brad Perry and many others.

    She has contributed to many publications, most notably: Mind Body Green, Prevention Magazine, Yoga Journal, Eat This Not That, MSN.com, Vitamin Shoppe, Health Central, Birdie and Livestrong.

    Dr. Pingel, affectionately known as The Hip Hop Adrenal Doc, can often be found on social media cheering on her two boys at soccer, making healthy vegan recipes in her kitchen, and cuddling her three dogs and cats at home with her husband. Phoenix, Ariz.

    Medical disclaimer

    The information shared above is for informational purposes only and is not intended as medical or nutritional therapy advice; it does not diagnose, treat or cure any disease or condition; it should not be used as a substitute or substitute for medical advice from physicians and trained medical professionals. If you are under the care of a healthcare professional or are currently taking prescription medications, you should discuss any changes in your diet and lifestyle or possible use of nutritional supplements with your doctor. You should not stop prescribed medications without first consulting your doctor.

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  • Running and physiotherapy;  Why runners should seek the expertise of a PT

    Running and physiotherapy; Why runners should seek the expertise of a PT

     

    by Danielle Dupont, PT, DPT, RRS, NASM-CNC – North Central Phoenix

    Whether you’re a seasoned marathon runner or just starting your fitness journey, running and physical therapy can play a crucial role in optimizing your performance. PT can also help prevent injuries and promote overall well-being.

    Marathon runners at the starting line.

    Top 10 Reasons Why Runners Should Seek a Physical Therapist:

    1. Injury prevention: Physical therapists can assess your running biomechanics and identify potential problems that could lead to injuries. They can provide personalized advice and exercises to address weaknesses, imbalances or poor running form. Reducing the risk of injuries such as shin splints, stress fractures or runner’s knee.
    1. Rehabilitation: If you have already suffered a running injury, physical therapists can tailor a rehabilitation program to help you recover safely and quickly. They use evidence-based techniques to restore strength, flexibility and range of motion. This allows you to start running again with less risk of new injuries.
    1. Performance improvement: Physical therapists can work with you to improve your running efficiency and technique. They can identify areas where you can improve your stride, posture and gait so you can run faster and with less effort. This can be especially valuable for competitive runners who want to achieve personal bests.
    1. Custom training plans: Physiotherapists can develop personalized training plans that take into account your individual strengths and weaknesses. This can help you avoid overtraining and make safe progress toward your running goals.
    1. Pain Management: If you experience persistent pain during or after running, a physical therapist can provide pain relief strategies such as manual therapy, modalities such as ultrasound or electrical stimulation, and education on self-care techniques.
    1. Biomechanical analysis: A physical therapist can perform a comprehensive assessment of your walking biomechanics. This may include analyzing your footstep pattern, joint movements and muscle activation to recommend appropriate footwear, orthotics or exercises to optimize your walking mechanics.
    1. Postoperative rehabilitation: If you have had surgery for a running injury, physical therapists can guide you through postoperative rehabilitation to ensure a successful recovery and a gradual return to running.
    1. Education and guidance: Physical therapists can educate you on proper warm-up and cool-down techniques, stretching exercises, and injury prevention strategies. They can also give you advice on how to adjust your running program as you get older or encounter new challenges.
    1. Motivation and support: Building a strong relationship with a physical therapist can provide the motivation needed to continue your rehabilitation. They can encourage and support you as you work toward your running goals.
    1. Whole body health: Physiotherapists take a holistic approach to health, taking into account the impact of various factors on your running performance. Including nutrition, sleep and stress management. They can guide you in optimizing these aspects of your life to support your running efforts.

    Physiotherapists are movement experts who improve the quality of life through practice-oriented care, patient education and prescribed movement. Seeking the expertise of a physical therapist can be extremely helpful for runners of all levels. Whether you want to prevent injuries, improve performance, or recover from an injury, a physical therapist can provide personalized care and guidance to help you achieve your running goals safely and effectively.

    Find a location near you for a free port analysis and tips to start your pain-free running journey.

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  • Training your bones – Bone Talk

    Training your bones – Bone Talk

    shutterstock 289401098

    Train your bones
    By Rebekah Rotstein, NCPT

    You have been diagnosed with osteoporosis or osteopenia and told that exercise can help. But what kind of exercise should you do? How do you know you won’t hurt yourself? What if you’ve never exercised before – how do you even get started? Or if you’re already an exercise enthusiast, what else can you do that you may have overlooked before?

    Let’s start by identifying how exercise can benefit your bones. Your bones are living tissue that change thickness, mass and shape with use, just like your muscles. If you wanted to strengthen your muscles, you would use them by pulling objects (like lifting weights) and pushing things (like push-ups). You can strengthen your bones in much the same way.

    Your bones adapt and respond to loads by strengthening and strengthening themselves to be able to bear that same load again in the future. When you resist external forces like gravity or weights, your bones reap the reward. On the other hand, not using your bones results in a weakening of their structure and composition. Ever seen the wrist of someone whose cast has just been removed? The wrist size has generally become smaller compared to the other wrist due to its immobility and lack of use. Similarly, NASA research has shown how the absence of gravity in space, which also limits the ability of muscles to pull on bones, causes reductions in bone mass.

    To know which type of exercise to engage in, you need to understand that bone is built from three sources when it comes to activity:

    1–Weight load

    Every time you stand upright, you are working against gravity and supporting the weight of your body. When you crawl or exercise on the floor and support your body with your hands and wrists, you similarly support your weight through your forearm bones.

    2–Resistance

    Your muscles facilitate movement against additional forces such as weights, bands or pulleys when you exercise. They also contract during daily activities such as carrying objects and moving furniture.

    3–Effect

    Your bones respond to compressive forces and receive further stimuli to become stronger when a greater force is added that increases the gravitational effect. You’re probably familiar with the term “high impact,” which refers to activities like running and jumping that some people find uncomfortable on their joints as they get older. High impact may not be recommended if you have osteoporosis, and especially if you have had a fracture, but it is important for building maximum bone mass in younger individuals. Low impact can be achieved by repeatedly stomping your feet or dropping your heels.

    Knowing which exercises to perform – and even which type of exercise (strength training, Pilates, yoga, HIIT, aerobics, to name a few examples) – depends on your physical capacity, history of physical activity and history of fractures . (If you have had a fracture, you should get permission from your doctor to begin an exercise program.)

    To actually increase bone density through exercise after menopause, you probably need high-intensity exercise (lifting heavy weights with a load of at least 80% of the maximum you can lift in a single repetition, along with a high impact). That assumes you don’t have any comorbidities (other conditions) or safety concerns that could make it contraindicated, and you have access to a gym and a trainer to supervise you.

    You can also aim to maintain the bone density you have, train for strength and power, and absorb impact at lower loads. No matter what, to avoid injuries, maintain good form by mastering basic movements and training for mobility to achieve the necessary range of motion in your joints.

    So when the question arises as to what is the one form of exercise you should be doing for osteoporosis, there is not ONE! The three bone-strengthening elements mentioned above are essential in addition to mobility training, but as the 2014 consensus document ‘Too Fit to Fracture’ pointed out, the best strategy is a multimodal approach that also combines balance and posture training (which we will discuss in this article). a future part of this series.)

    A few important things to keep in mind as you begin your training journey:

    • Be consistent. As with any activity or skill, consistency is key to experiencing results and promoting motivation

    • Keep challenging yourself. Your bones and muscles are both adaptive organs. So to continue to reap the benefits of exercise, you need to continually and gradually make things harder so you don’t plateau.

    • Make it fun. If you find it annoying, you’re more likely to procrastinate and avoid it! The best exercise is the one you are going to do.

    Sometimes getting started is the biggest hurdle you have to overcome. Know that exercise affects more than just your bones and muscles, joints and soft tissues. It is multisystemic and can improve other systems of your body, such as your digestion, your circulation and your cognition. Furthermore, the more physically active you become, the stronger you feel. One of the often overlooked aspects of osteoporosis is the emotional difficulty that patients experience, regardless of whether they have suffered a fracture. Taking charge of your health through exercise can be one of the best actions you can take to transform yourself from a sense of fear and vulnerability to a sense of confidence and capability.

    Stay tuned for the next part of this series demonstrating specific posture training exercises that you can incorporate into your daily life. The smallest change in body position can make a big difference in the experience and effects of your exercise program.

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  • 4 women get real about living with rheumatoid arthritis

    4 women get real about living with rheumatoid arthritis

     

    pexels pixabay 53364

    Your immune system is supposed to protect your body, but when you have rheumatoid arthritis (RA), it accidentally attacks healthy joints, tissues, and organs, including the eyes and lungs. As a result, the chronic autoimmune disease causes pain, swelling, stiffness and loss of function in the joints. It can also cause other symptoms, including fatigue, loss of appetite and dry eyes.

    RA affects 1.5 million Americans and there is no cure. But it can be managed with medications and lifestyle changes.

    Women’s health

     

    Women’s Health magazine featured four women – including Mariah Leach, founder of Mamas Facing Forward – discussing the diagnosis of rheumatoid arthritis, how they cope and what they’ve learned from living with RA.

    4 women get real about living with rheumatoid arthritis

    Women’s health

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  • You can easily retrain your taste buds to enjoy bone-healthy foods – here’s how

    You can easily retrain your taste buds to enjoy bone-healthy foods – here’s how

     

    A healthy diet is essential for building strong bones and a long, independent life. However, many people are hesitant to change their eating habits. Taste is often the main reason.

    Fortunately, research has shown that it is possible to retrain our taste buds. By reshaping our response to certain tastes, we can turn healthy foods we don’t like into delicious, delectable treats.

    Today you will discover the science behind taste and how you can apply that knowledge to retrain your taste buds. Once you discover the deliciousness of healthier foods, meeting your nutrition goals will become much easier.

    The physical effect of taste

    Taste is a multifaceted sensation, where information is obtained from different sources.

    On the tongue, receptors convert chemical compounds in food into neural signals. These receptors are your taste buds. When certain compounds come into contact with your taste buds, they identify the compounds as sweet, salty, bitter, sour, or savory.

    About half of your taste buds can detect all five taste types to varying degrees, and the other half specializes in detecting the intensity of only one of the five.

    Our genetic makeup determines which compounds our taste buds can detect. Scientists have observed how differences in certain genes determine people’s food preferences.1

    However, taste buds are not the only source of flavor. Olfactory nerves also transmit information that indicates what food tastes like. That’s why losing your sense of smell can drastically change the way you taste food.

    In addition, other forms of sensory information about how something tastes are taken into account, such as temperature, texture and whether a food is spicy. Our brain combines all this sensory information to generate the taste sensation.

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    Our taste buds sense chemical compounds in food and send signals to our brain about whether that food is sweet, salty, bitter, sour, or savory. Our olfactory nerves provide information about smell that is included in our perception of taste. In addition, physical sensations such as temperature, texture and spice level influence our sense of taste.

    Experience also shapes taste

    Exposure and habit also influence our sense of taste. For example, babies prefer foods that their mothers consume during pregnancy. Exposure to those foods in the womb helped them develop a taste for them before they were born. This indicates a relationship between what we eat and how we experience taste.

    Eating foods high in sugar can reduce our ability to taste sweetness. Our taste buds adapt based on exposure levels. When they experience high levels of sweetness, they respond by lowering their signal levels. Research has even shown that the number of sweetness-sensitive cells can decrease in response to overstimulation.2

    The same goes for salty foods. A high-salt diet causes your taste buds to underestimate the saltiness of food. To achieve the experience of saltiness, even more salt is needed.

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    Babies show a preference for foods their mothers ate during pregnancy, showing that experience determines taste. If you often eat foods high in sugar or salt, your taste buds begin to under-report the sweetness and saltiness of your food. Then you have to add more sugar or salt to get the same level of flavor.

    Manufactured foods have distorted our sense of taste

    Processed foods are notorious for containing excessive amounts of sugar and salt. Because eating too many of those flavors numbs their receptors, processed and manufactured foods reduce our ability to taste salty and sweet.

    To accommodate this reduced sensitivity, manufacturers of these processed foods therefore increase the sugar and salt content. This creates a terrible feedback loop that makes processed foods even unhealthier.

    While manufactured foods become less and less healthy, pure, unprocessed foods remain the same.

    This means that even a delicious fruit or vegetable can taste bland if your taste buds are dulled by excessive sugar and salt intake. Natural foods no longer register as tasty because of the way a diet of processed and manufactured foods has changed your taste buds.

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    Processed foods are notoriously high in sugar and salt. Consuming overly salty and sugary foods numbs your taste receptors. Then even more salt and sugar are needed to achieve the same taste level. That means a great-tasting piece of produce might not taste good to someone whose taste buds have been altered by eating foods high in sugar and salt.

    We can retrain our taste buds

    Research presented by the European Society of Cardiology revealed that participants with hypertension were able to adjust their taste perception to increase their appreciation of a low-sodium diet.

    Over the course of the 16-week program, participants reduced their salt intake by 30% and increased their enjoyment of a low-salt diet from a rating of 4.8 to a rating of 6.5 on a 10-point scale.3

    A study published in the journal Current Biology found that rats given access to water sweetened with 30% liquid sucrose for four weeks experienced a reduced response to sweetness and even a reduced number of taste buds. However, they also found that when they removed the sucrose fluid from the rats’ water, the effects reversed over the course of just four weeks.4

    These studies, involving both humans and animals, show that within weeks you can recalibrate your taste buds to enjoy the authentic taste of whole foods. Try these four strategies to reset your taste buds:

    1. Avoid processed and manufactured foods. – Processed foods are packed with salt, sugar and artificial ingredients. This includes TV dinners, microwaved meals and ready-made meals. Preparing meals from scratch with whole ingredients gives you control over sugar and salt content.
    2. Choose less sweet and less salty ingredients for your recipes and meals. – For example, instead of a bar, take a square of dark chocolate; use unsweetened creamer in your coffee; and swap the white sugar in a recipe for the recommended amount of a plant-based sugar-free sweetener such as stevia or monk fruit.
    3. Eat more produce. – Increase the amount of fresh produce in your diet. Add fresh vegetables to your meals, add spinach to your morning smoothie, or eat a piece of fruit and a handful of almonds instead of a snack bar.
    4. Consume more fiber. – Choose fiber-rich foods, including leafy greens, whole grains and legumes. The extra fiber ensures that you feel full for longer and reduces the need for unhealthy snacks.

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    Research has shown that eating foods that are too salty or high in sugar can damage our sense of taste. However, research has also shown that by eliminating excess salt or sugar from your diet, you can restore your natural response to those flavors. By adjusting your diet to reduce salt and sugar intake, you can increase your ability to detect these flavors in food, helping you enjoy a healthier diet.

    An alkaline diet of whole foods nourishes your bones

    Reducing sugar consumption is beneficial for bone health. Consistently high sugar levels disrupt the bone remodeling cycle and prevent healthy bone development.

    Additionally, you’ll provide your body with essential nutrients to build strong bones by eating a diet rich in whole fruits and vegetables. That change also supports the 80/20 pH balanced diet, because fruits and vegetables are alkalizing.

    However, this doesn’t mean you can’t enjoy the other foods you love. This diet is not about denial. In fact, the 80/20 pH-balanced diet actually requires that 20 percent of each meal consist of acidifying foods. This can include acidifying plant foods, such as most beans, as well as animal products that contain protein and bone-building minerals, such as eggs, fish and organ meats.

    Because reducing salt and sugar intake increases your sensitivity to those flavors, you may develop a taste for healthy foods, making them more flavorful. When your bone-building diet is delicious, it becomes irresistible.

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    Reducing sugar intake supports bone health. A diet rich in fruits and vegetables reduces added sugars and salt, while adding bone-building nutrients and helping to achieve the 80/20 balance between alkalizing and acidifying foods. The 20 percent of each meal that sours can be plant foods or animal products.

    What this means for you

    You have the power to shape your own taste preferences. With a little intentional effort, you can unlock a new world of sweetness and flavor hidden in the whole, natural, mostly alkalizing foods in your grocery store’s produce aisle.

    The Save Institute developed Bone Appétite to help you turn these healthy ingredients into great meals. With the right preparation, you can turn a vegetable you fancy into a dish you look forward to. By turning healthy eating into delicious dining, Bone Appétite makes building stronger bones irresistible.

    Take back control of your taste buds. Instead of letting the food processing industry dictate your taste, build your palate to appreciate the depth and breadth of flavor of natural, whole foods.

    References

    1 https://www.sciencedirect.com/science/article/abs/pii/S2214799321001077?via%3Dihub

    2 https://www.cell.com/trends/endocrinology-metabolism/fulltext/S1043-2760(20)30235-6?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1043276020302356%3Fshowall% 3Dtrue#%20

    3 https://www.sciencedaily.com/releases/2022/05/220523150647.htm

    4 https://www.cell.com/current-biology/fulltext/S0960-9822(22)01212-X?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS096098222201212X%3Fshowall%3Dtrue

     

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  • Influence of cuff stiffness on hemodynamics and perceived cuff pressure in the upper limbs in men and women: implications for practical training to limit blood flow restriction  BMC Sports sciences, medicine and rehabilitation

    Influence of cuff stiffness on hemodynamics and perceived cuff pressure in the upper limbs in men and women: implications for practical training to limit blood flow restriction BMC Sports sciences, medicine and rehabilitation

     

    All participants (demographic and anthropometric data are shown in Table 1) successfully completed the experimental sessions without side effects, except for some cases of mild tingling in the fingers at the end of the measurements. Regarding RTD, three men had to be excluded from the data analyzes because the occlusion of arterial blood flow was not possible with the MS and/or LS cuff due to the painful pinching of the skin fold and the stretching of the cuff up to the yield point. In addition, one female was excluded from data analyzes for vsysRPP, SMO2and tHb because arterial blood flow was already occluded at 20% overlap using the HS cuff.

    Table 1 Participant characteristics expressed as means ± standard deviations

    Overlap to occlusion

    There was a main effect of cuff (F2.62 = 175.679, P< 0.001, theP2= 0.850) and post hoc analysis indicated that RTD was lower in the HS compared to the MS (MD = -13.06% (-16.18 to -9.93%), P< 0.001, D= 2.06) and LS cuff (MD = -23.78% (-26.90 to -20.65%), P< 0.001, D= 3.75). In addition, RTD was also lower using the MS compared to the LS cuff (MD = -10.72% (-13.85 to -7.60%), P< 0.001, D= 1.69). Descriptive data are shown in Table 2; Fig. 3.

    Table 2 Hemodynamic, physiological and perceptual responses to progressive practical blood flow restrictions (10%, 20% and 30% overlap relative to the individual’s upper arm circumference) using a high stiffness (HS), medium stiffness cuff ( MS) and low stiffness (LS). Data are expressed as means ± standard deviations
    Fig. 3
    figure 3

    Percent overlap needed for arterial occlusion in the high stiffness (HS), medium stiffness (MS), and low stiffness (LS) cuff. A significant difference between LS and MS is shown as *p<0.05, **p < 0.01, ***p < 0.001 and #p<0.05, ##p < 0.01, ### p < 0.001 respectively

    Peak systolic velocity of blood flow

    There was an overlap × cuff interaction (F3,642,120,192 = 71.952, P< 0.001, theP2= 0.686) and a main effect of overlap (F1,770,58,422 = 161.427, P< 0.001, theP2= 0.830) and cuff (F2.66 = 50.380, P< 0.001, theP2= 0.604) for vsys. Post hoc analysis showed that vsys was lower at 30% overlap in each cuff compared to baseline (HS: MD = -62.67 cm s− 1(-70.97 to -54.37 cm s− 1 ), P< 0.001, D= 3.95; MS: MD = -21.53 cm s− 1(-29.83 to -13.24 cm s− 1 ), P< 0.001, D= 1.36; LS: MD = -11.02 cm s− 1(-19.31 to -2.72 cm s− 1 ), P< 0.001, D= 0.69). Furthermore, when the HS cuff was applied, vsys was also lower at 20% overlap compared to baseline (MD = -20.51 cm s− 1(-28.80 to -12.21 cm s− 1 ), P< 0.001, D= 1.29). As for cuff differences, vsys was lower at 20% and 30% overlap using the HS cuff compared to the MS (MD = -16.89 cm s− 1(-26.08 to -7.70 cm s− 1 ), P< 0.001, D= 1.07 and MD = -39.91 cm s− 1(-49.11 to -30.71 cm s− 1 ), P< 0.001, D= 2.52, respectively) and the LS cuff (MD = -17.60 cm s− 1(-26.80 to -8.41 cm s− 1 ), P< 0.001, D= 1.11 and MD = -53.99 cm s− 1(-63.18 to -44.79 cm s− 1 ), P< 0.001, D= 3.40 respectively). Furthermore vsys was also lower at 30% overlap using the MS compared to the LS cuff (MD = -14.08 cm s− 1(-23.27 to -4.88 cm s− 1), P< 0.001, D= 0.89). Descriptive data are shown in Table 2; Fig. 4.

    Fig. 4
    figure 4

    Peak systolic velocity of blood flow (A) and assessment of perceived cuff pressure (B) in response to progressive practical pressure on blood flow restriction, expressed as percent overlap in relation to the individual’s arm circumference. A significant difference between LS and MS is shown as *p<0.05, **p < 0.01, ***p < 0.001 and #p<0.05, ##p < 0.01, ###p < 0.001 respectively

    Assessment of perceived cuff pressure

    An overlap × cuff interaction (F3,946,130,209 = 13.994, P< 0.001, theP2= 0.298) and a main effect of overlap (F1,668,55,046 = 674.771, P< 0.001, theP2= 0.953) and cuff (F2.66 = 11.067, P< 0.001, theP2= 0.251) was found for RPP. A post hoc analysis showed that RPP increased at each %overlap stage compared to baseline for all three cuffs (HS10%: MD = 1.57 au (0.98 to 2.17 au), P< 0.001, D= 1.51; HS20%: MD = 3.80 au (3.21 to 4.40 au), P< 0.001, D= 3.66; HS30%: MD = 6.41 au (5.82 to 7.00 au), P< 0.001, D= 6.16; MS10%: MD = 1.54 au (0.94 to 2.13 au), P< 0.001, D= 1.48; MS20%: MD = 3.32 au (2.72 to 3.91 au), P< 0.001, D= 3.19; MS30%: MD = 5.03 au (4.44 to 5.63 au), P< 0.001, D= 4.84; LS10%: MD = 1.46 au (0.87 to 2.05 au), P< 0.001, D= 1.40; LS20%: MD = 3.18 au (2.59 to 3.77 au), P< 0.001, D= 3.05; LS30%: MD = 4.95 au (4.36 to 5.55 au), P< 0.001, D= 4.76). Regarding differences between cuffs, RPP was higher using the HS cuff with 20% overlap compared to the LS cuff (MD = 0.71 au (0.06 to 1.37 au), P= 0.016, D= 0.69) and with an overlap of 30% compared to Member States (MD = 1.43 (0.78 to 2.09 au), P< 0.001, D= 1.38) and LS cuff (MD = 1.54 au (0.89 to 2.19 au), P< 0.001, D= 1.48). Descriptive data are shown in Table 2; Fig. 4.

    Oxygenation of the muscles

    SMO2: There was an overlap × cuff interaction (F2,374,78,326 = 3.232, P= 0.037, theP2= 0.089) and a main effect of overlap (F1,297,42,808 = 404,914.= P< 0.001, theP2= 0.925) and gender (F1.33 = 5.096, P= 0.031, theP2= 0.134) for SMO2. Post hoc analysis showed that SMO2 was lower at 20% overlap (HS: MD = -9.94% (-12.43 to -7.45%), P< 0.001, D= 1.15; MS = -8.28% (-10.77 to -5.78%), P< 0.001, D= 0.96; LS: MD = -7.42% (-9.98 to -5.00%), P< 0.001, D= 0.87) and 30% overlap (HS: MD = -17.46% (-19.95 to -14.97%), P< 0.001, D= 2.02; MS: MD = -14.91% (-17.42 to -12.42%), P< 0.001, D= 1.72; LS: MD = -13.79% (-16.28 to -11.30%), P< 0.001, D= 1.59) compared to baseline. Furthermore, the main effect of sex indicated that regardless of overlap and cuff used, SMO2 was lower in men than in women (MD = -5.16% (-9.80 to -0.51%), P= 0.031, D= 0.60).

    tHb: An overlap × cuff (F3,072,101,386 = 6,440, P< 0.001, theP2= 0.163) and overlap × sex interaction (F1,187,39,158 = 14.814, P< 0.001, theP2= 0.310) and a main effect of overlap (F1,187,39,158 = 117,125.= P< 0.001, theP2= 0.780) and gender (F1.33 = 27.981, P< 0.001, theP2= 0.459) was found for tHb. Post hoc tests showed that tHb was higher at 20% overlap (HS: MD = 0.13 au (0.09 to 0.18 au), P< 0.001, D= 0.45; MS: MD = 0.10 au (0.05 to 0.14 au), P< 0.001, D= 0.32; LS: MD = 0.06 au (0.02 to 0.11 au), P< 0.001, D= 0.20) and 30% overlap (HS: MD = 0.22 au (0.18 to 0.27 au), P< 0.001, D= 0.75; MS: MD = 0.17 au (0.12 to 0.21 au), P< 0.001, D= 0.55; LS: MD = 0.15 au (0.10 to 0.19 au), P< 0.001, D= 0.45) compared to baseline. Moreover, tHb was already higher at a 10% overlap using the HS (MD = 0.05 au (0.00 to 0.09 au), P= 0.018, D= 0.16) compared to baseline. Regarding sex differences, post hoc analysis showed that regardless of cuff, tHb was higher by 10% (MD = 0.06 au (0.01 to 0.10 au), P= 0.003, D= 0.20), 20% (MD = 0.15 au (0.11 to 0.20 au), P< 0.001, D= 0.52) and 30% overlap (MD = 0.24 au (0.19 to 0.29 au), P< 0.001, D= 0.80) in men, while in women tHb was only higher during a 30% overlap compared to baseline (MD = 0.12 au (0.07 to 0.16 au), P< 0.001, D= 0.39). In addition, tHb was higher in men compared to women at baseline (MD = 0.51 au (0.31 to 0.70 au), P< 0.001, D= 1.69). Descriptive data are shown in Table 2.

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  • Can a lappiplasty repair my bunion?

    Can a lappiplasty repair my bunion?

    Bunions can be a real pain to deal with on your own. The symptoms of a bunion can be very disabling, making it difficult to walk or get from one place to another. The good news is that some treatment options can help you repair your bunion. With the right approach, your bunion problem can be a thing of the past. A lapiplasty is an approach that many people use to treat their bunion problems. Let’s take a closer look at what exactly a lapiplasty is and how it can help you say goodbye to bunion pain.

    Causes of a bunion

    Symptoms of a bunion?

    • Large bump on the outside of the big toe
    • Redness and swelling around the big toe
    • Corns and calluses on the friction site of the big toe and second toe
    • Limited movement of the big toe

    What is a lapiplasty?

    People often have the misconception that bunions can be fixed by just shaving off the bone, thinking it is an overgrowth. In reality, there are deeper issues that are causing the problems you are experiencing. In the past, bunion surgery approached the problem on a two-dimensional plane, while the problem to be addressed was three-dimensional. This is where Lapiplasty comes into play. With LapiplastyⓇ 3D Bunion Correction, instead of doing what traditional bunion surgery does, which is cutting the bone in half and shifting, Lapiplasty rotates the entire spine of the foot to repair the anatomical deformity that causes the bunions to form. By doing this, the chance of your bunions returning is minimal.

    If you suffer from bunions, Bone and Joint Specialists Orthopedic & Spine Center is the right place for you. With 4 locations in Indiana, we offer extensive access to our physicians who can provide you with world-class service. Working with us means you work with the best. Contact us today at 219.795.3360 or visit us online at www.orthopedicdoctors.com to schedule your consultation.

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