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Achilles tendonitis, like any tendonitis is one of the more common and one of the most difficult injuries to treat in athletes due to the individuals high level of activity and frequent reluctance to decrease or stop training. In addition the nature of the tendonitis tissue is a slow healing tissue. It is associated with pain in the back of the heel and 1″ to 3″ above it. The range of pain is from burning or prickly to shooting and piercing especially when running “uphill”. The danger is, if left unresolved, the fibers of the tissue can become weak and rupture, accompanied by big swelling and pain. Or at the least due to minute tears in the fibers may result in painful scar tissue.

The causes of this injury can be:

The single biggest cause of Achilles Tendonitis as is any tendonitis in the lower extremity is due to over-pronation (spreading of the foot to the floor with each step). As the heel bone everts (turns outward) in pronation the fibers of the tendon are repetitively stretched beyond their range of efficient “tracking” and heat builds up (inflammation) as the fibers of the tendon rub against the fascia (fascia is like a Saran wrap covering the tendon) harder than they should. In addition the pull at the insertion can cause this overgrowth of bone commonly seen technically called a “Haglund’s Deformity”.

Improper shoe selection

Improper warm-up: lack of flexibility due to lack of stretching (see stretching exercises)

Direct trauma.

Heel bone deformity (seen as a “growth” on the bone)

Short Achilles Tendon (anatomical)

“Functional shortage” (FS) of one leg.

Treatment:

Avoid hills

Ice after running

Decease mileage

Stretching program, including entire lower extremity. Stretching of gastroc (Achilles) and soleus muscles should be learned”technically” correctly.

Heel lift(s) under the affected part

Silicone Dynamic Orthotics, minimizes the overpronation forces allowing greater efficiency of the “tracking’ of the tendon.

Copyright 2006 Dennis Kiper, all rights reserved.

Dennis N. Kiper, D.P.M., specializes in Podiatric Sports Medicine.

Email: mailto:footdoc@drkiper.com footdoc@drkiper.com

Web Site: drkiper.com drkiper.com

Gout, an arthritis affliction with its roots in antiquity, has not always been easy to treat. The traditional medicines employed for gout have been non-steroidal anti-inflammatory drugs (NSAIDS), colchicines, probenicid (Benemid), and allopurinol (Zyloprim).

Unfortunately, while effective, these drugs have their drawbacks. NSAIDS cause gastrointestinal complications; colchicines has been linked to severe neurologic and gastrointestinal problems; probenecid cannot be used in patients who do not have normal kidney function or who excrete too much uric acid in the urine; and allopurinol has been associated with severe side effects including liver, skin, and blood toxicity.

Interestingly, drugs you may take for other medical conditions may help you with gout. Losartan (Cozaar), a blood pressure medication, and fenofibrate (Tricor), a triglyceride-lowering drug, works as mild uricosuric drugs. This means these agents help the kidneys get rid of excess uric acid- the major ingredient in the crystals that cause gout pain.

By the same token that some medicines taken for different conditions may help gout, others may hurt it. For instance, certain diuretics may elevate blood uric acid. The same is true for low doses of aspirin.

A new medicine, febuxostat, has recently undergone clinical trials. This medication is being heralded because of its general safety profile. Unfortunately, there have been some concerns raised about cardiovascular issues.

Uricase, an enzyme found in all animals but not in humans has been evaluated. It tends to induce allergfic reactions and has not been found to be of practical use to date.

Obviously, all medicine decisions should be made in concert with your physician.

Dr. Wei (pronounced “way”) is a board-certified rheumatologist and Clinical Director of the nationally respected Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine and has served as a consultant to the Arthritis Branch of the National Institutes of Health. He is a Fellow of the American College of Rheumatology and the American College of Physicians. For more information on arthritis and related conditions, go to: arthritis-treatment-and-relief.com/types-of-arthritis.html Types of Arthritis

It is very rare in life that we come across someone who goes out of their way not to smell nice, which is why the vast majority of us will buy beauty products and brand name perfume in order to smell nice and in some cases be more distinctive or give off what may become a signature scent in a pleasant way.

In fact brand name perfume is notoriously difficult to buy for someone if you are unaware of their brand of choice, I like to think that your fragrance of choice is much like having a theme tune, which obviously stimulates and is identifiable through scent rather than sound. Imagine for a second that the Queen was coming to your house and you were in charge of the music, you know for a fact that the Queen’s theme tune is ‘God Save the Queen’ but you think that maybe she may fancy a change, so as Her Majesty enters the house you hit the random button on your stereo thus blasting out ‘Smack That’ by Akon. It would be safe to assume that nine times out of ten this choice would result in certainly fewer royal visits in the future.

If this perfectly unfeasible scenario were applied to the purchase of perfume for a loved one or a friend (probably not the Queen) the worst that would happen is that they take the gift and never use it or they advise you on what you should purchase next time.

With this in mind the safest course of action is to find out the preferred brandnameperfume.co.uk brand name perfume and buy that or be daring and have a look around because at the end of the day it is not a huge financial outlay and these decisions can be rectified by more purchases. Please take a look at the best brand name perfumes from the UK’s top merchants at brandnameperfume.co.uk brandnameperfume.co.uk

You cannot mistake it when you have hot flashes. The neck and face feel quite hot and there may be heart palpitations, sweating, dizziness, headaches and anxiety. The face turns red. It may last from a few seconds to an hour. The severity of the symptoms may range from mild to severe.

Most of the sufferers of hot flashes are women undergoing menopause – about 75% of them. Some men on the controversial andropause, men on hormone restriction therapy for prostate problems, persons with hyperthyroidism, low blood pressure and low blood sugar are also prone to hot flashes. The mechanism of hot flashes is simple. The blood vessels on the neck and head enlarge and allow more blood than normal to pass. This gives the hot feeling and causes other symptoms. The cause of the blood vessels’ dilating is still unknown.

In menopausal women the hormone level is related to the hot flashes. It is not the level of hormones per se, but the wild fluctuations in the level, that seem to trigger the attack.

There are no proven approaches to connect the fluctuations of hormonal levels and the dilation of blood vessels. The mid-brain hypothalamus gets confused, when the hormone levels are fluctuating, and orders the dilation of blood vessels to get rid of the non-existent extra heat. The temperature of the skin on the neck and head rise suddenly and sharply. This gives the feeling of heat. As the hot flash passes, there is a chilling of the body, further confirming that the thermostat on the brain is confused.

In response to hormonal fluctuations, the pituitary gland may also be releasing its own hormones to dilate the capillaries and cause them to increase blood flow. There is also a view that psychological factors, such as stress and anxiety, play a part in hot flashes, or at least in triggering one.

e-hotflashes.com Hot Flashes provides detailed information on Hot Flashes, Menopause Hot Flashes, What Cause Hot Flashes, Hot Flash Remedy and more. Hot Flashes is affiliated with e-bladderinfections.com Bladder Infection Symptoms.

Selecting a hairstyle in 2007 will be pretty easy. The major trend this year will be to update retro looks from the 20th century. To find a trendy hairstyle that will look good on you select an era look that you enjoy and have fun with it.

Long hair style trends for 2007 will focus on long curls. You can go soft and wavy or tight and crimped. Long hair styles work best for people who have the time to style their hair in the morning or for special events. To keep your long hair healthy make sure that you use the right products and make sure that you keep the ends trimmed. You may also want to use anti-frizz hair care products and curl enhancer products offered by quality salons. These products will make your long hair products look great all day long.

If you are a person who doesn’t have a lot of time in the morning to style their hair then this really is your year to be trendy. Short hair is definitely in this season. You can select from dozens of updated styles from the 20s, 60s. 70s and 80s. Some of the popular styles that you can select from include: page boy cut, pixie cut and shag. To care for your short haircut keep things simple. Use salon quality shampoos, conditions and styling products. If you have naturally curly hair then you will want to add products specifically formulated to work with your curly hair to your daily routine.

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Human Flu or Influenza sounds too common to alarm anyone, but if it is BIRD FLU, the situation becomes appalling from virtue of the fact that the virus is highly fatal for humans and it mutates over time into various forms thereby, making vaccination and treatment difficult. Hence only hope lies in preparation for it is said that Prevention is better than cure! Mankind has seen 3 deadly pandemics in history which left millions dead across the globe.

A White House document, titled National Strategy for Pandemic Influenza (NSPI) says so, “A pandemic, or worldwide outbreak of a new influenza virus, could … overwhelm our health and medical capabilities, potentially resulting in hundreds of thousands of deaths, millions of hospitalizations and hundreds of billions of dollars in direct and indirect costs.” This gives us an idea of where we stand in terms of preparedness. The very fact that the virus keeps changing genetically makes it impossible to develop a foolproof vaccine against avian flu.

Another very important factor in flu’s spread which is worth considering is the quote by Kofi Annan, ex-UN Secretary General, “Once human-to-human transmission has been established, we will have only a few weeks to lock down the spread before it spins out of control!” At current levels of international human traffic, a localized epidemic can escalate into a global pandemic. Hence a lock down or isolation zones needs to be created wherein humans and food products from infected regions are not allowed to be transported across countries.

The preventive measures as of now consist mostly of advisories and guidelines to be followed by people and governments across the risk prone countries. Amazingly rapid advances in the field of pharmaceuticals and genetics are being made to come up with a foolproof strategy for development and deployment of vaccines against bird flu.

WHO issues regular advisories to warn travellers coming and going across flu prone areas or infected countries and people directly involved like poultry farmers, health workers, doctors, etc. of the risks involved. Precautionary measures are published across mass media in most of the countries by the governments to make people aware of the effects of Avian Flu and the guidelines to prevent it.

World Health Organization has come up with strategies for information gathering and dissemination with its bird flu operations spreading across about 82 countries with hundreds of centers, their primary aim being surveillance and rapid confirmation of suspected cases. WHO issues a list of most common suspected virus types which might strike that particular year. The vaccine development and production programs across the world follow these reports.

Some countries and agencies have started stockpiling of vaccines (like oseltamivir) effective against the most common H5N1 bird flu virus. In developing countries the major focus has been on community preparation and involving multiple agencies beyond health departments into the planning processes against bird flu, like non-governmental organizations, law, education, tourism industry, agriculture sector, etc. Training activities and pandemic simulation exercises are designed and taken up.

Unfortunately for us there are no unfailing measures which we can count on. As the virus keeps changing genetically we are unable to have pre-made accurate vaccines against it. Immunization is out of question for the same reason. Hence the only surest hope today is to know the disease and prevent its infection. In case of infections in poultry containment is done by mass killing the birds. And in cases of humans the infected region should be locked down, monitored and suspicious cases kept isolated to prevent the spread of flu. Hygiene and disinfection using even casual methods like washing and following general cleanliness guidelines at home can reduce the chances of flu infection by 99%. Preventing human exposure to diseased humans and animals is the key to prevention..

Clive Jenkins recommends the Bird Flu Helpsite which will provide you with comprehensive information on all aspects of the Bird Flu Virus. To find articles, tips and free advice check out the site here:
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Many of us that regularly go to yoga classes will have heard the instructor telling us not to look at others in the room, but instead to think about our own practice. There is no doubt about the truth of this advice. When making these comments, the instructors are reminding us to practice yoga without the ego and pride that can lead us to try to compete with our neighbours or make us feel inadequate if we are unable to achieve a posture.

Learning from ourselves
Yoga is an individual practice that helps us to focus our mind though the movement and use of our body. It is only by bringing our full awareness and concentration to our own bodies, movement and alignment that we can fully relax and deepen our stretches. Listening to our bodies is essential to avoid injury while we continue to test and extend the limitations of our body to improve our yoga abilities.

A learning environment
With this in mind, when we practice with a room full of others, it is sometimes difficult to completely resist the desire to have a quick look at what others are doing.

But we don’t necessarily have to feel guilty from these indiscretions. Yoga class is a learning environment, and there is a lot that we can learn and benefit from our curiosity if we remember that we are not in competition with the others in the room.

The most basic help from a quick look around is if we are not fully concentrating on the teacher’s instruction. If we are focussed on our current pose it’s possible that we miss the name of the next pose or didn’t fully understand the instructions then a quick look over can provide clarification.

While we may rely on the instructor to help with our alignment, it’s not always possible for them to visit us all individually for each posture. Instead, while we hold the pose we should be feeling our position, examining our alignment and correcting it ourselves – if there are mirrors in the room, they can help with this for some postures. If we are unsure about the correct alignment and position for some postures a quick look over at the more capable students in the room, to see their position, can be all that’s needed to correct our own understanding. If we can see the instructor correcting another student’s posture, we can follow that and try to apply it to our own posture. (Obviously this approach has the risk that we are copying someone else who is not aligned correctly. If you’re really unsure of the pose then it’s still best to ask the instructor).

Be inspired
Many of us started yoga to improve some aspect of our physical appearance, to loose fat, build muscle or improve our posture for example. A quick look over at the beautiful boys and girls elegantly stretching and exercising their bodies can remind us of what we’re trying to achieve, and show us what may be achieved. This can be a source of enormous inspiration and motivation from seeing what can be achieved by the more able students in the class, more so than looking at the instructor.

We expect the instructor to have certain abilities beyond ours simply because they are teaching us, they have the superior position in the teacher, student relationship. However, when we think of other students, we see them on the same level as ourselves, human just like us, and we can relate to them more easily. If we remember that they have probably reached their yoga abilities through practice, we can be inspired to further test our own boundaries.

Similarly, if we see one of our class mate’s abilities improving over time, we can be further encouraged that through more effort in our practice, or more focus on the areas that we want to improve, we too can achieve our goals.

Being able to listen to our body and bring awareness to our yoga requires a routine of deep stretching where each posture is held for longer to we have time to listen and learn. Discover how you can get this high quality yoga instruction through TotalYogaPractice.com yoga streaming video

ABOUT THE AUTHOR: Jez Heath is helping real people TotalYogaPractice.com learn yoga online so they can make the commitment necessary to improve their yoga and their health – mind, body and soul. Learn how TotalYogaPractice.com yoga streaming video can help you transform your life

Why do you want to work out? This is the question you should ask yourself before you pick up a single dumbbell. Focusing on your fitness goals is like following a new year’s resolution. You will be more successful if you set your objectives in line with your personal desires and priorities. For example, you may choose to work out in order to lose weight. That is perhaps the most common reason for working out. In such a case, you will become more motivated in your training the more you see your goals being achieved–through a shrinking waistline or a lower bathroom scale reading, perhaps.

There are many other reasons for you to work out–muscle increase, stamina, power, core strength, body shape, and overall health are some examples. You may even find yourself shifting from one goal to another, as your needs and priorities change.

In this article, I will focus on the fitness goal of muscle increase. That is my general objective. But to truly motivate myself, I need to set additional and more specific goals that can move me towards my objective. In the case of muscle increase, I set myself the goal of increasing my biceps size from 14 and a half inches to 15 and a half inches. It’s a step, and it may not be a huge step, but it definitely brings me closer to my overall goal. The exact goal is something that will differ from case to case, depending on the individual. Anyway, I decided to purchase a pair of 35-pound dumbbells to use in curling exercises. Knowing what I wanted to achieve, I could tailor my training program to suit my requirements, and acquire the equipment necessary.

At the same time that I got the dumbbells, I purchased a 300-pound weight set for bench exercise. It’s not that I regularly bench press 300 pounds, far from it. In fact, my current maximum press would be 180 pounds. I set an additional goal for myself–that I would be able to increase my maximum press to 200 pounds, a difference of 20 pounds. So why did I get a 300-pound set? Because I was looking ahead. I was certain I would reach my goal of 200 pounds, but when I did, the muscle gain may not be enough to satisfy me. I could foresee the day that I would be striving towards a 300-pound maximum. But I did not set that as my current goal, but chose to focus on a smaller measurable step.

That is a good approach to fitness training. Achieve your goals in a series of small measurable steps. Then you will be able to measure your progress and know when you are doing well and when you need to work harder. You will also be motivating yourself to keep training as you see progress happen slowly but surely. And your training progress will prove more effective when you set your sights on concrete goals instead of a single vague mission. That is something I learned the hard way. I got into fitness because I wanted to have a better body, but with no more specific goals and no way to concretely measure my progress, I lost spirit and ended up quitting. I have since learned my lesson and no longer have trouble motivating myself to keep working out. If you have trouble maintaining your fitness regime, I suggest you set yourself a number of clear, measurable goals, and that should keep you going.

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In this country most people do not discuss Mental illness or disorders. A good many people think having a disorder like anxiety or panic attacks is a sign of weakness or defect. The truth of the matter is that almost everyone suffers from some form of mental disorder in his or her lifetime.

In the case of panic or anxiety attacks symptoms can range from mild discomfort to debilitating agoraphobia and this is a condition that can strike anyone. Your life is going along the normal path that you have set out for yourself, when suddenly without any warning terror has you in its grip. You feel weak and helpless. Your hearts pounding, you are sweating and you have trouble breathing. You may even wonder if you are having a heart attack or if you are about to die. When you finally go to see a doctor, you might even be told there is nothing physically wrong with you. Hopefully you will be referred to a mental health professional for further diagnosis.

Initially, after the first you are stunned by the attack asking yourself what just happened to me. You are frightened by the experience but now you realize that the fear is still lingering there. About this time you may begin to conclude that you had an anxiety or panic attack. You find yourself feeling very uncomfortable in certain social situations or physical surroundings. The worst part is that you cannot control these feelings. As time passes these feelings may appear to be intensifying. This may be the beginning of a condition called agoraphobia.

So, what is agoraphobia you might ask? This is a condition where an individual does not wish to go places or face situations where they could become exposed to possible anxiety or panic attacks. The very word agoraphobia itself lets us know the nature of this debilitating condition. Agora comes from the Ancient Greek language and it means places where people meet, or a marketplace and Phobia is a fear of something. Thus we can understand that people who suffer from agoraphobia have a fear of being in crowded places or social gathering in confined spaces.

Agoraphobia is a condition that usually develops gradually. In general it occurs after a panic attack. After the first attack you may subconsciously be preparing for another attack and fearing the symptoms that will leave you feeling helpless. This cycle of panic attack and impending panic attack can cause you to change your entire lifestyle just to avoid those feelings of terror. As panic attacks can occur anywhere at anytime, we generally associate the first place that we felt helpless as perhaps the reason for our anxiety attack. A routine of fear and subsequent panic attack dominates your life. People, who have suffered from PTSD associated with a traumatic event, relate this event to everyday life situations. They frequent talk about feeling that they are about to be ambushed or attacked. Many times they cannot describe what is the initial cause of their fear. Most of the time agoraphobia starts slow and then grows as you wait for the next attack to commence.

Anyone suffering from this condition will find that their world is closing in on them. In extreme cases the individual will confine themselves to their house or even to a single room within a home. Combat veterans suffering from PTSD call this bunkering up. Just discussing a trip to a public place full of people will trigger a racing heart. Frequently the person begins to sweat and experience chest pains similar to a heart attack. It is not uncommon for a person suffering from agoraphobia and panic attacks to stop taking care of their physical needs. They cannot buy clothes or get a haircut and sometimes cannot seek medical attention because of the fear of a crowded doctors office.

It is critical for the patient to see a medical and mental health specialist that treats this disorder prior to it becoming serious. Anxiety disorders, especially agoraphobia is a very serious and debilitating disease that affects many people. Seeking treatment early allows for more treatment options. New effective medications are available that will assist in recovery. Anxiety attacks are a serious mental condition that affects millions of people every year. Again the secret to successful treatment is an early diagnosis and treatment.

James Kesel, MS,

The body fat index is an estimated range of what a person’s body fat percentage should naturally be as opposed to lean body mass – made up of muscle, bone, skin and blood. It tells us the difference between the weight of the fat mass as opposed to that of the muscle mass. Body fat index or percentage is a better indicator than the BMI (Body Mass Index) which lumps all the masses into one estimate.

Body fat index is calculated as total ether extract fat pad weights, divided by body weight, multiplied by 100. Your body fat index is a true indicator of healthy weight. Lots of new weighing scales have a body fat index calculator. Our bodies need fat – we cannot do without it but too much is bad. If,after several readings, your body fat index is clearly trending up, you may want to reconsider your diet and exercise programs
to reduce your body fat percentage.

Compared to body weight, the body fat index is a more accurate and objective indication of a person’s health. A much better test of true body fat index is a caliper (used in gyms, check it out. Bioelectrical impedance analysis (BIA) is one way to estimate your body fat percentage. Two conductors are attached to the body and a small electrical charge is sent through the body. Body fat is calculated since the resistance to electricity varies between fat (adipose) tissue and that of muscular or skeletal tissues.

What Role Does Weight Play?

Monitor your weight and body fat percentage. For men there is a gradual decline in testosterone levels which slowly reduces the amount of lean muscle weight. This decreases the metabolism and the body requires less energy to maintain weight, with eating habits strongly established it contributes a positive energy balance forcing the body to store excess energy in fat cells. There must be a gradual dietary adaptation to allow the body to adjust to fat burning OR weight loss will slow or stop. How can I decrease my body fat if I’m the correct weight and BMI for my height and age? Reducing your body fat while staying at the same weight means you will have to build more muscle. Less cardio and more weight training will lower your body fat percentage. I just read that your attitude is everything, a study of housekeepers who were told that they were doing enough activity to lose weight, did actually lose weight.

What is Healthy?

So, what is a healthy body fat. The minimum amount of essential fat in women is between 10-13% while for men it is much lower at between 2-5% An acceptable figure for men would be between 18-25% while for women it can range from 25-31%. Anything above that is bordering on fat or obese. There are fast and accurate body scales on the market for monitoring weight loss and maintaining health ,using the BIA method I described above .If all doctors had this machine in their offices, we might start getting some more meaningful data how effectively to lower body fat percentage.

Robert Locke is an Internet Marketer specialising in Health, Wellness and Fitness.
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