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Sunday, December 13, 2020

Should You Be Worried If Your Joints Crack All the Time?

 

Should some in their 30s be nervous about popping, cracking joints? Health's medical editor weighs in.






Q: I'm only 34, but my joints are already cracking and popping. Is that a bad sign?

A: As long as the sound doesn’t come with any pain or swelling, you don’t need to worry. Popping or cracking noises could just be gas bubbles bursting within the fluid surrounding the joint, or the sound of ligaments and tendons stretching and releasing. Do you notice it more when you repeatedly move the joint (when you’re doing shoulder presses at the gym, for instance)? A soft snapping or clicking sound is also sometimes caused by a tight muscle or tendon moving over a bony structure. To help silence the snapping, try doing some gentle stretching that involves the joint and the surrounding muscles.

Thursday, December 3, 2020

22 tips forever stay fit keep moving when life gets in the way

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Can you carry on exercising when your motivation slips, the weather gets worse or your schedule becomes overwhelming? Experts and Guardian readers give their best advice



1 Work out why, don’t just work out

Our reasons for beginning to exercise are fundamental to whether we will keep it up, says Michelle Segar, the director of the University of Michigan’s Sport, Health and Activity Research and Policy Center. Too often “society promotes exercise and fitness by hooking into short-term motivation, guilt and shame”. There is some evidence, she says, that younger people will go to the gym more if their reasons are appearance-based, but past our early 20s that doesn’t fuel motivation much. Nor do vague or future goals help (“I want to get fit, I want to lose weight”). Segar, the author of No Sweat: How the Simple Science of Motivation Can Bring You a Lifetime of Fitness, says we will be more successful if we focus on immediate positive feelings such as stress reduction, increased energy and making friends. “The only way we are going to prioritise time to exercise is if it is going to deliver some kind of benefit that is truly compelling and valuable to our daily life,” she says.

2 Get off to a slow start

The danger of the typical New Year resolutions approach to fitness, says personal trainer Matt Roberts, is that people “jump in and do everything – change their diet, start exercising, stop drinking and smoking – and within a couple of weeks they have lost motivation or got too tired. If you haven’t been in shape, it’s going to take time.” He likes the trend towards high-intensity interval training (HIIT) and recommends people include some, “but to do that every day will be too intense for most people”. Do it once (or twice, at most) a week, combined with slow jogs, swimming and fast walks – plus two or three rest days, at least for the first month. “That will give someone a chance of having recovery sessions alongside the high-intensity workouts.”

3 You don’t have to love it

It is helpful not to try to make yourself do things you actively dislike, says Segar, who advises thinking about the types of activities – roller-skating? Bike riding? – you liked as a child. But don’t feel you have to really enjoy exercise. “A lot of people who stick with exercise say: ‘I feel better when I do it.’” There are elements that probably will be enjoyable, though, such as the physical response of your body and the feeling of getting stronger, and the pleasure that comes with mastering a sport.

“For many people, the obvious choices aren’t necessarily the ones they would enjoy,” says Sniehotta, who is also the director of the National Institute for Health Research’s policy research unit in behavioural science, “so they need to look outside them. It might be different sports or simple things, like sharing activities with other people.”

4 Be kind to yourself

Individual motivation – or the lack of it – is only part of the bigger picture. Money, parenting demands or even where you live can all be stumbling blocks, says Sniehotta. Tiredness, depression, work stress or ill family members can all have an impact on physical activity. “If there is a lot of support around you, you will find it easier to maintain physical activity,” he points out. “If you live in certain parts of the country, you might be more comfortable doing outdoor physical activity than in others. To conclude that people who don’t get enough physical activity are just lacking motivation is problematic.”

Segar suggests being realistic. “Skip the ideal of going to the gym five days a week. Be really analytical about work and family-related needs when starting, because if you set yourself up with goals that are too big, you will fail and you’ll feel like a failure. At the end of a week, I always ask my clients to reflect on what worked and what didn’t. Maybe fitting in a walk at lunch worked, but you didn’t have the energy after work to do it.”

5 Don’t rely on willpower

“If you need willpower to do something, you don’t really want to do it,” says Segar. Instead, think about exercise “in terms of why we’re doing it and what we want to get from physical activity. How can I benefit today? How do I feel when I move? How do I feel after I move?”

6 Find a purpose



Anything that allows you to exercise while ticking off other goals will help, says Sniehotta. “It provides you with more gratification, and the costs of not doing it are higher.” For instance, walking or cycling to work, or making friends by joining a sports club, or running with a friend. “Or the goal is to spend more time in the countryside, and running helps you do that.”

Try to combine physical activity with something else. “For example, in my workplace I don’t use the lift and I try to reduce email, so when it’s possible I walk over to people,” says Sniehotta. “Over the course of the day, I walk to work, I move a lot in the building and I actually get about 15,000 steps. Try to make physical activity hit as many meaningful targets as you can.”

7 Make it a habit

When you take up running, it can be tiring just getting out of the door – where are your shoes? Your water bottle? What route are you going to take? After a while, points out Sniehottta, “there are no longer costs associated with the activity”. Doing physical activity regularly and planning for it “helps make it a sustainable behaviour”. Missing sessions doesn’t.

8 Plan and prioritise

What if you don’t have time to exercise? For many people, working two jobs or with extensive caring responsibilities, this can undoubtedly be true, but is it genuinely true for you? It might be a question of priorities, says Sniehotta. He recommends planning: “The first is ‘action planning’, where you plan where, when and how you are going to do it and you try to stick with it.” The second type is ‘coping planning’: “anticipating things that can get in the way and putting a plan into place for how to get motivated again”. Segar adds: “Most people don’t give themselves permission to prioritise self-care behaviours like exercise.”

9 Keep it short and sharp

A workout doesn’t have to take an hour, says Roberts. “A well-structured 15-minute workout can be really effective if you really are pressed for time.” As for regular, longer sessions, he says: “You tell yourself you’re going to make time and change your schedule accordingly.”

10 If it doesn’t work, change it

It rains for a week, you don’t go running once and then you feel guilty. “It’s a combination of emotion and lack of confidence that brings us to the point where, if people fail a few times, they think it’s a failure of the entire project,” says Sniehotta. Remember it’s possible to get back on track.

If previous exercise regimes haven’t worked, don’t beat yourself up or try them again – just try something else, he says. “We tend to be in the mindset that if you can’t lose weight, you blame it on yourself. However, if you could change that to: ‘This method doesn’t work for me, let’s try something different,’ there is a chance it will be better for you and it prevents you having to blame yourself, which is not helpful.”

11 Add resistance and balance training as you get older

“We start to lose muscle mass over the age of around 30,” says Hollie Grant, a personal training and pilates instructor, and the owner of PilatesPT. Resistance training (using body weight, such as press-ups, or equipment, such as resistance bands) is important, she says: “It is going to help keep muscle mass or at least slow down the loss. There needs to be some form of aerobic exercise, too, and we would also recommend people start adding balance challenges because our balance is affected as we get older.”

12 Up the ante

“If you do 5k runs and you don’t know if you should push faster or go further, rate your exertion from one to 10,” says Grant. “As you see those numbers go down, that’s when to start pushing yourself a bit faster.” Roberts says that, with regular exercise, you should be seeing progress over a two-week period and pushing yourself if you feel it is getting easier. “You’re looking for a change in your speed or endurance or strength.”

13 Work out from home



 If you have caring responsibilities, Roberts says you can do a lot within a small area at home. “In a living room, it is easy to do a routine where you might alternate between doing a leg exercise and an arm exercise,” he says. “It’s called Peripheral Heart Action training. Doing six or eight exercises, this effect of going between the upper and lower body produces a pretty strong metabolism lift and cardiovascular workout.” Try squats, half press-ups, lunges, tricep dips and glute raises. “You’re raising your heart rate, working your muscles and having a good general workout.” These take no more than 15-20 minutes and only require a chair for the tricep dips – although dumbbells can be helpful, too.

14 Get out of breath

We are often told that housework and gardening can contribute to our weekly exercise targets, but is it that simple? “The measure really is you’re getting generally hot, out of breath, and you’re working at a level where, if you have a conversation with somebody while you’re doing it, you’re puffing a bit,” says Roberts. “With gardening, you’d have to be doing the heavier gardening – digging – not just weeding. If you’re walking the dog, you can make it into a genuine exercise session – run with the dog, or find a route that includes some hills.”

15 Be sensible about illness

Joslyn Thompson Rule, a personal trainer, says: “The general rule is if it’s above the neck – a headache or a cold – while being mindful of how you’re feeling, you are generally OK to do some sort of exercise. If it’s below the neck – if you’re having trouble breathing – rest. The key thing is to be sensible. If you were planning on doing a high-intensity workout, you would take the pace down, but sometimes just moving can make you feel better.” After recovering from an illness, she says, trust your instincts. “You don’t want to go straight back into training four times a week. You might want to do the same number of sessions but make them shorter, or do fewer.”

16 Seek advice after injury

Clearly, how quickly you start exercising again depends on the type of injury, and you should seek advice from your doctor. Psychologically, though, says Thompson Rule: “Even when we’re doing everything as we should, there are still dips in the road. It’s not going to be a linear progression of getting better.”

17 Take it slowly after pregnancy

Again, says Thompson Rule, listen to your body – and your doctor’s advice at your six-week postnatal checkup. After a caesarean section, getting back to exercise will be slower, while pregnancy-related back injuries and problems with abdominal muscles all affect how soon you can get back to training, and may require physiotherapy. “Once you’re walking and have a bit more energy, depending on where you were before (some women never trained before pregnancy), starting a regime after a baby is quite something to undertake,” says Thompson Rule. “Be patient. I get more emails from women asking when they’re going to get their stomachs flat again than anything. Relax, take care of yourself and take care of your baby. When you’re feeling a bit more energised, slowly get back into your routine.” She recommends starting with “very basic stuff like walking and carrying your baby [in a sling]”.

18 Tech can help

For goal-oriented people, Grant says, it can be useful to monitor progress closely, but “allow some flexibility in your goals. You might have had a stressful day at work, go out for a run and not do it as quickly and then think: ‘I’m just not going to bother any more.’” However, “It can start to get a bit addictive, and then you don’t listen to your body and you’re more at risk of injury.”

19 Winter is not an excuse

“Winter is not necessarily a time to hibernate,” says Thompson Rule. Be decisive, put your trainers by the door and try not to think about the cold/drizzle/greyness. “It’s the same with going to the gym – it’s that voice in our head that make us feel like it’s a hassle, but once you’re there, you think: ‘Why was I procrastinating about that for so long?’”

READERS’ TIPS

20 Keep it bite-size

Alex Tomlin

I’ve tried and failed a few times to establish a consistent running routine, but that was because I kept pushing myself too hard. Just because I can run for an hour doesn’t mean I should. Running two or three times a week for 20-30 minutes each time has improved my fitness hugely and made it easier to fit in.

21 Reward yourself

Neil Richardson

I keep a large bag of Midget Gems in my car to motivate myself to get to the gym, allowing myself a handful before a workout. Sometimes I toss in some wine gums for the element of surprise.

22 Call in the reinforcements

Niall O’Brien

I tapped into the vast network of fitness podcasts and online communities. On days I lacked drive, I would listen to a fitness podcast, and by the time I got home, I would be absolutely determined to make the right choices. In fact, I would be excited by it. Your brain responds very well to repetition and reinforcement, so once you have made the difficult initial change, it becomes much easier over time.




 

Tuesday, December 1, 2020

Can I check for medical fitness in army hospital?

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Can I check for medical fitness in army hospital?



There is no such scope in Army hospitals. But the Medicals for Armed forces selection are known to many civil doctors. 

You can also find lot of ex AMC ( Medical Corps) Doctors now working with private hospitals. 

I think, the best idea would be to go to an ex AMC Doctor, tell him your fears and ask for complete check up on same lines. 

You might have to pay the fee for that hospital, but it'll be money well spent.

 Plus if there is any temporary rejection issues, that can be cured/taken care of well within time and you reach for medicals all confident, fit and ready.


Medical Examination Procedure And Tips In Service Selection Board

Recommended candidates appear before the medical board for carrying out their medical board after the SSB results. It takes 4 to 5 days time for the concerned Military Hospital to complete the medical board and after that the candidates are dispersed. NDA candidates are examined both for Army and Navy unless otherwise instructed and endorsement of fitness status will be made accordingly. President of the medical board will guide the candidates for Appeal/Review Medical Board procedures. Candidates may seek the advice of President Special Medical Board for review/appeal in case they have been declared unfit.

A medical examination Procedure is held at nearby Military Hospital and continues to 5 days.

Day 1

Candidates should not eat anything during day 1 testing. At Day 1 of Medical Examination, candidates undergo

  • Urine test – looks for mineral contents in Urine

Tips to get a healthy urine test:

  1. Drink lots of fluids before the test. Also called flushing, this method remains one of the easiest, cheapest, and most successful ways to get ahealthy urine test.
  2. If you notice your urine becoming excessively watery before test, a clear tip off — try taking vitamins B-2 or B-12.
  3. If you are an addict then before test try taking aspirin a couple hours ago.
  4. Try Cranberry Juice if not organic then boxed will do, Tart cranberry juice may help keep your bladder safe from infection.
  5. If you have urinary incontinence, you may need to drink fewer fluids at certain times. If you’re getting up too much at night to empty your bladder, avoid fluids for two hours before bedtime.
  6. Some people find that certain foods worsen their bladder symptoms, Badlani says. Acidic foods, such as tomatoes and orange juice, may be linked to flare-ups. Keep a diary of your symptoms and see if you can connect them to any foods.
  7.  Avoid Tobacco. Every year, more than 50,000 people are diagnosed with bladder cancer. Using tobacco is a major risk factor.
  8. Drink Plenty of Fluids — But Not Too Much
  • Blood test – looks for haemoglobin and other essential minerals ratio


Tips to get a healthy blood test:

  1. Avoid prescription drugs, alcohol intake just before the test
  2. Fasting is good before blood test, few hours of empty stomach will he;p you but drink fluid as much as you can and avoid too much iron rich nutrients a day before the test it may affect the result.
  3. The best way to build oxygen-rich blood is to exercise. Not only does exercise help your heart pump blood, it brings fresh oxygen.
  4. Eat more legumes. Rich in fiber and nutrients, beans and legumes help eliminate harmful cholesterol (LDL) and lower triglycerides.
  5. Take a B-vitamin supplement. The B-vitamins B-6, B-12, and folate are essential to lower the amount of homocysteine in your blood.
  6. Eat your greens. Chlorophyll is the plant nutrient that gives vegetables their green color. It is very similar to the hemoglobin molecule. Boosting your intake of greens combined with adequate iron helps boost your blood.
  7. Drink aloe vera juice. Aloe vera juice has been used for many years by herbalists as a natural blood booster. It cleanses arteries and is anti-inflammatory. It is also rich in amino acids, enzymes, chlorophyll, vitamins, and minerals—all of which help build strong blood.
  8. Eat a more alkaline diet. The blood’s pH is naturally 7.365 but our acid-forming diets can cause the balance to shift slightly in favor of acidity, which scours the arterial walls. Reducing sugar, soda, meat, and processed foods in favor of alkaline vegetables (almost all vegetables are alkaline); alkaline fruits like avocados, fresh coconut, lemons, limes, and grapefruit; alkaline legumes like lentils, navy beans and soy; alkaline nuts and seeds like almonds, pumpkin seeds, sprouts, and sesame seeds; and alkaline grains like buckwheat, quinoa, and spelt.
  • Chest X-ray – looks for any irregular or unwanted part

Tips to get a healthy Chest:

  1. Exercise containing Push ups, Pull ups, Compound movement, etc,work the chest at various angles to avoid any deformity of body parts.
  2. Breathing exercise for clearing chest and avoid sleep disorders mostly the manner in which you sleep it can affect the chest bone and muscle formation.
  • Ultra-Sound Test – looks for better insight of inner organs and problems like Kidney Stones.

Tips to get a healthy Kidney & Liver Ultrasound Test:

There are only precautions that you can take,

  1. Emphasize high-quality proteins, in limited quantities. Protein is necessary for maintaining organ function and repairing damaged tissue. If you have compromised kidney or liver function, you should be aware that eating too much protein places a strain on these organs. Higher quality protein foods include meat, poultry, fish and eggs. Lower quality proteins are those found in vegetables and whole grains but both kinds of protein are important to maintain healthy kidney and liver function.
  2. Stay within your caloric range, which should be provided by your health care provider or dietitian. Anyone who has compromised kidney function should strive to maintain a health weight.
  3. Limit your intake of sodium. Sodium or salt is an essential mineral that is also widely used to preserve foods. Consuming too much sodium can cause an imbalance of water in your body, placing a strain on the kidneys. In addition, salt causes water retention, especially in individuals with kidneys and a liver that aren’t functioning properly.
  4. Avoid drinking alcohol which can cause significant liver and kidney impairment and damage. Alcohol destroys liver cells and can disrupt the delicate electrolyte balance the body maintains to maintain biological stability.  

Day 2

At Day 2 of medical examination, candidates undergo

Eyes Check-up 

here the related doctor looks for any defect that restrict your vision and a test is conducted for checking Night Blindness too.



Tips to get a healthy eyes check up:

  1. Eat healthy foods. Maintain a healthy balanced diet, including foods rich in antioxidants. Also include Omega-3, found in oily fish, also. Generally speaking, if a food is good for heart health it is good for your eyes also.
  2. Wear sunglasses outside. Ultraviolet (UV) light is a risk factor for cataract and AMD. Exposure when young does the most harm, so don’t forget the sunglasses as well as the hat and sunblock for your children.
  3. Research your family history. Many eye conditions run in families, from short- and long-sightedness and astigmatism, to more serious conditions like glaucoma and AMD.
  4. Avoid dry eyes. Air conditioning, heating, wind, computer use and study can each lead to symptoms of dry eye. As we get older our eyes’ ability to produce tears becomes reduced. At the age of forty we are producing half the amount of tears we produced when we were ten. Lubricating eye drops, along with nutritonal supplements and sometimes lid treatments to reduce inflammation can be used to treat dry eye.
  5. Nutrional supplements. Consider nutritional supplements when there is a family history of AMD, including lutein, zeaxanthin, zinc and Vitamins C and E. Recent studies (AREDS2) have indicated a benefit in doing this. Flaxseed and linolenic oils can also assist dry eye sufferers.

Day 3

At Day 3 of medical examination, candidates undergo

ENT test

ENT stands for ‘Ear-Nose-Throat’, a candidate undergo hearing test and individual checkup. Candidates with DNS surgery are acceptable in Indian military.

Tips for healthy Ear-Nose-Throat:

  1. Manage stress levels. Stress and anxiety have been linked to both temporary and permanent tinnitus (a phantom ringing in the ears). High levels of stress cause your body to go into fight or flight mode, which is an instinctual reaction that fills your body with adrenaline to help you either fight or flee from danger. This process puts a lot of pressure on your nerves, blood flow, body heat, and more. It’s commonly thought that this pressure and stress can travel up into your inner ear and contribute to tinnitus symptoms.
  2. Get regular checkups, Ask your primary care physician to incorporate hearing screenings into your regular checkups. Because hearing loss develops gradually, it’s also recommended that you have annual hearing consultations with a hearing healthcare professional. That way, you’ll be more likely to recognize signs of hearing loss and take action as soon as you do.
  3. The mucous membrane protects us from external threats with its mucous, which blends with impurities. Then, the small nose hairs on the mucous membrane direct these impurities toward the throat and then the stomach. Stomach acids permanently eliminate these impurities. Sneezing is also a way of getting rid of impurities. Proper nose hygiene helps the mucous membrane pro­tect the body.
  4. Proper nasal hygiene starts with healthy living habits by reducing external threats in your environment. Here are a few small tips on how to reduce external threats in your environment: Avoid carpets; Don’t let dust accumulate on objects; Clean your home regularly; Humidify the air in your home; Avoid smoking and second-hand smoke.
  5. Your nose constantly comes into contact with allergens (mites, pollen and mould). Some people develop allergic reactions accompanied by nasal congestion and sneezing. Using saline water to clean your nose will help reduce your symptoms and eliminate allergens found in mucous.
  6. how to maintain healthy nasal hygiene:
    • Maintain proper humidity levels in your home;
    • Avoid letting dust accumulate in your home;
    • Avoid cigarette smoke;
    • Maintain a daily nasal cleansing routine especially for young children;
    • Clean the nose more frequently when you have a respiratory infection or allergies;
  7. Don’t ever drink from the same glass, cup, or bottle that someone else is using, as you may be at risk of cross-contamination. The same is true for sharing eating utensils and even napkins.
  8. One source of infection that is overlooked by most people is the toothbrush. Left overnight, it can be a potential source of problem for the throat and mouth. Every morning, before brushing the teeth, soak your toothbrush in a glass of hot salt water (a teaspoon will suffice). This will help to disinfect the toothbrush and also helps keep it clean.
  9. Gargle every night with a mixture of warm water and salt. Just a pinch of salt will do. During cold and flu season, this is a habit that will help to disinfect the mouth and throat.
  10. One of the very best ways to protect the throat is with ginger juice and honey
  11. Daily vocal warm ups are a must like, Slow, gentle humming on comfortable tones are excellent warm-ups.

Day 4

At Day 4 of medical examination, candidates undergo

Surgical /medical examination

In this examination, experts check

  • Height and Weight
  • Blood Pressure
  • Hyper-tension
  • Reproductive Organs
  • Anus

Day 5

At Day 5 of medical examination, candidates undergo

Dental Checkup

Here a expert doctor looks for Jumbled tooth and other features of a healthy mouth.

Tips for Healthy Teeth:

  • What you put in your mouth can affect the health of your teeth and gums. Choosing the right foods early in life can be especially beneficial throughout your whole life.
  • You don’t have to be a genius to know that smoking is bad for your general health but did you know that smoking reduces the blood flow to your mouth, resulting in greater chances of developing periodontal disease and oral cancers.
  • Chewing gum can actually improve your alertness by 10% by improving blood flow to the brain according to a recent study in Japan. So besides neutralizing acids and cleaning your teeth, chewing gum improves motor skills.
  • You should never use a hard toothbrush. Hard toothbrushes cause abrasion to your enamel, which then exposes your dentine making your teeth appear more yellowish. Rinse your toothbrush with hot water before using it to soften the bristles.
  • When drinking soft drink or soda; use a straw. Using a straw will bypass the acid to your teeth.

Procedure Of Appeal Medical Board

The Appeal Medical Board will be held at one of the following hospitals :-

  • Base Hospital, Delhi Cantt.
  • Command Hospital, Southern Command, Pune.
  • Command Hospital, Eastern Command, Kolkata.
  • Command Hospital, Central Command, Lucknow.
  • Command Hospital, Western Command, Chandimandir.
  • Command Hospital, Air Force, Bangalore.
  • Command Hospital, Northern Command, C/o 56 APO.
  • INHS, Ashvini, Mumbai.

The candidates will report for medical examination within the stipulated period i.e., 42 days from the date last examined by the Special Medical Board for re-examination along with the receipted copy of the MRO/TR as directed by the President Medical Board. The endeavour will be to complete the Medical Board in one day.

SSB Screening Test Online Prepration

Review Medical Board

In case of candidate being declared unfit by the Appeal Medical Board, he/she may challenge the proceedings and may be granted review of medical proceedings based on the merit of the case. Any candidate desiring for a review should address the request to Recruiting Directorate (Personnel & Coord), Army Headquarters, West Block III, RK Puram, New Delhi with a copy to the President of Appeal Medical Board within one day of the holding of Appeal Medical Board. The application for RMB are routed through DG AFMS. The decision for grant of RMB is with DG AFMS, and is not a matter of right. RMBs are conducted at R&R Hospital Delhi Cantt and AFMC, Pune.

Stay During The Medical Examination

The recommended candidates after the declaration of SSB results will stay in the Selection Centres in the lines earmarked for the recommended candidates for their medical examination by the Military Hospital. The candidates will be allotted fresh medical chest numbers for the purpose.

Candidates who go for Appeal Medical Board or have to get their medical examination done at a later date due to some unavoidable reasons will do so under their own arrangements.

Discipline During Medical Examination

It is utmost important that recommended candidates maintain proper discipline during their stay in Selection Centres during their conduct of medical examination. The candidates are required to put on their medical Chest Number (with Red Cross) whenever they are present in the campus of Selection Centres.

Should You Be Worried If Your Joints Crack All the Time?

  HOME FITNESS Should You Be Worried If Your Joints Crack All the Time? Should You Be Worried If Your Joints Crack All the Time? Should some...