Health Beat, 2015

HealthBeat2015

weather-related Joint Pain

Eat Right after 50

Sleep Better at night

A Publication of the Lewiston Tribune and Moscow-Pullman Daily News

HEALTH BEAT MONDAY, JUNE 22, 20152

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Cataract surgery common and effectiveAs men and women age, their

risk for cataracts increases. Starting at age 50, cataract risk rises, and that risk only grows more signifi-cant as men and women get older. The National Eye Institute predicts that, by the year 2050, 50.2 mil-lion Americans will experience cataracts.

The lens of the eye is normally clear, but as a person ages, the lenses can begin to cloud and lead to impaired vision. Cataracts can cause blurry vision and increase the glare from lights, affecting how a person can manage daily activities. Cataracts also may make it more difficult for eye doctors to examine the back of the eye during routine visits to detect conditions such as age-related macular degeneration or diabetic retinopathy.

Eye experts routinely recom-mend cataract surgery when cataracts interfere with daily activities, such as driving, watching television or even reading medica-tion bottles. Surgery is a safe and common way to treat cataracts.

The American Optometric Association says cataract surgery involves the removal of the natural lens of the eye, which is replaced with an artifical lens. This clear, plastic intraocular lens, or IOL,

requires no special maintenance and is designed to properly focus. In many cases, the eye doctor will make a small incision in the side of the cornea, where he or she inserts a tiny probe. This device will use ultrasound waves to soften and break up the lens into small pieces, which are removed by suction in a process known as phacoemul-sification. The cataract lens is removed, but the thin, outer layers of the lens, called the lens capsule, are not touched. Afterward, the IOL is placed in the lens capsule.

If the cataracts have advanced and phacoemulsification is not an option, the eye doctor will have to find another way to remove the lens.

The IOLs used may be monofo-cal, fixed-focus, accommodating, and multifocal lenses, and which type of lens is best for a patientÕs needs will be determined by the eye doctor.

Cataract surgery may only take 15 minutes, though patients will likely spend more time at the sur-gical facility to allow for prep time and post-operative evaluation. Recovery will involve the use of medicated eye drops several times daily, and a protective eye shield should be used while sleeping.

As the eye recovers, a special

pair of post-op-erative sunglass-es are required to protect the eyes from bright light. Eye doc-tors also advise patients to avoid strenuous activity, includ-ing exercise, for at least the first week of recovery. Water splashed in the eyes can cause infection, so swimming should be avoided and caution should be taken when bathing or showering.

All About Vision says it can take several weeks for the eye to heal sufficiently. If both eyes require

surgery, doctors will often wait one to three weeks before per-forming surgery on the second eye.

Learn more about cataract sur-gery by speaking with your eye doctor or visiting www.aoa.org.

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TABLE OF CONTENTS


When a headache might be moreHeadaches are a common

occurrence and may result from a host of factors, including chang-ing weather, stress and fatigue. Headaches may be classified as tension headaches or symptom-atic of sinus congestion. Migraine headaches are a type of headache that can affect vision and may be accompanied by other symptoms, such as sensitivity to light and sound.

Although headaches can be painful, they often are harmless. Once a headache subsides, a person can resume normal activity. However, some headaches are indicative of a more serious condi-tion and warrant further investiga-tion. Should a headache fit the following criteria, it may be time to visit a doctor promptly.

• Extreme pain: If the headache comes on very suddenly and is characterized by extreme pain, it may be a sign of an aneurysm. This occurs when a blood vessel in the brain tears and cuts off blood supply to a part of the brain. Aneurysms are treatable if medical attention is promptly sought.

• Head injury: Headache fol-lowing sports injuries or head trauma should be checked by physicians. Injuries can cause brain swelling and buildup of fluid inside of the skull.

• Neurological issues: If the headache is accompanied by neu-rological issues, such as slurred speech, problems moving your limbs, changes in vision, confu-sion, or memory loss, see a doctor.

• First-time headache for

older adult: Head-aches in adulthood following a lifelong pattern of headaches may be nothing to worry about. How-ever, if you are 50 or older and suddenly are experiencing acute headaches, it may be a sign of something serious.

• Headache and stiff neck: Bacterial and viral forms of meningitis can cause a head-ache along with a stiff neck and, in some instances, vomiting. If these symptoms all coincide, you should be tested.

• Headache type changes: If symptoms of recent headaches are unlike past symptoms, it may

be wise to talk to a doctor about the changes. Changes can include increased frequency, different pain locations or anything other new symptoms.

Headaches are often innocu-ous, but in some instances, they may be signs of something serious. Visit a doctor to rule out more serious implications of headaches.

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Treating weather-related joint painEarly spring is often marked

by wind and rain that precedes the more welcoming warmth synonymous with late spring and summer.

Rainy, damp conditions may be great for homeowners look-ing to revitalize their lawns and

gardens, but such conditions can wreak havoc on achy joints, especially for those who experi-ence arthritis. Although there is no concrete proof to link aching joints and muscles with damp weather, rheumatologists are often asked why achy joints and

– CHIROPRACTOR –


– DENTIST –

muscles tend to ache that much more in damp weather.

Dropping baro-metric pressure, which occurs when rain is on the horizon, may cause tis-sues to swell. Swelling tissues in already inflamed joints can add to pain, especially if these tissues push into nerves and muscles in the area. According to a survey published in the journal Pain, two-thirds of people living with chronic joint pain believe there is a link between their pain and weather changes. Changes in humidity and temperature also may play a role, affecting pressure all over the body. Joint pain may not be the only effect, as some people get headaches as well.

While spring may be a painful time of year for sufferers of joint pain, there are steps such men and women can take to alleviate some of those aches. When rainy or cooler temperatures loom, try these ideas.

• See your doctor. If your pain is growing more severe, consult with your doctor, who may be able to develop a plan that helps you deal with the changing

seasons more comfortably. Doctors may suggest chiropractic ma-nipulation, or physical therapy or prescribe pain medications.

• Keep the body warm. Cold limbs and joints may be more prone to stiffness and pain. Dress in layers and use heating pads to combat chilly tempera-tures.

• Exercise painful joints. Rely on low-impact exercises, such as walking or swimming, to loosen up stiffness in the body. Loosen-ing up and stretching before any intense workouts is recom-mended.

Rainy weather may be in the forecast, and that can mean in-creased pain for those with achy joints. Working with a medical professional can help take the ouch out of seasonal changes.

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Ingredients that help fight inflammationThose outside of the medi-

cal profession may consider inflammation a negative thing. However, inflammation is an attempt by the human body

to heal itself. Inflammation that does not overstay its welcome can help protect the body from

bacterial and viral infections. Inflammation can be

poor for health when it is a constant oc-currence. Autoim-mune diseases often trigger inflamma-

tory responses even when there

is no threat of infection, and that can cause the im-mune system to damage its

own tissues. The right diet can help reduce instances of

inflammation, and the follow-ing are some ingredients to consider eating more of to fight symptoms of inflammation.

• Ginger: Researchers at the University of Michigan Medi-cal School found that ginger supplements reduced mark-ers of colon inflammation in a select group of patients. In the study, conducted over a period of 28 days, 30 patients were randomly assigned either two grams of ginger root supple-ments per day or a placebo. After 28 days, patients who had taken the ginger supplements had significant reductions in inflammation. That’s a consider-able finding, as colon inflam-mation has been linked to a higher risk of colon cancer.

• Turmeric: Used primar-ily for flavoring, turmeric is a spice closely related to ginger and contains polyphenolic compounds known to help in the fight against inflammation. Turmeric can be added to stews and sauces, and some studies have indicated that it can allevi-ate the pain caused by osteo-arthritis, a potentially painful condition that occurs when the joints’ natural shock absorbers break down.

• Extra-virgin olive oil: Extra-virgin olive oil is a staple of the Mediterranean diet, an approach to eating that em-phasizes fish, fruits, vegetables, beans, and whole grains. The Mediterranean diet can reduce inflammation, and it also has

– DENTIST –


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been linked to a lower risk of heart attack and heart disease. It may even help prevent stroke and Alzheimer’s disease.

• Vegetables: Men and wom-en who eat lots of different vegetables may be less likely to develop inflammation. Accord-ing to a study by the American Gut Project, people who eat more than 25 species of plants per week have a greater as-sortment of bacteria in their stomachs than those who eat fewer than 10 per week. That’s because the greater variety of produce and legumes helps to increase the amount of healthy bacteria lining human stom-achs, and that healthy bacteria helps to reduce instances of inflammation.

• Omega-3 fatty acids: Omega-3 fatty acids, commonly found in certain types of fish, help suppress cytokines and other inflammatory chemicals. Salmon, herring, sardines, and anchovies are loaded with omega-3 fatty acids, and eating fish twice a week can not only reduce inflammation but also decrease levels of LDL choles-terol, often referred to as bad cholesterol.

A certain amount of inflam-mation is a good thing. But men and women who find themselves routinely battling inflammation may want to make certain dietary changes to counter their inflammation problems.

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– DENTIST –

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Dr. Gregory Bengtson has spent over 30 years treating dental problems through the practice of implant dentistry.

If you, or someone you know, would like to learn more about these procedures, please call us today. With few exceptions, implant dentistry can make a diff erence in your life. And, put an end to social insecurity.

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How to eat after 50As people age, their dietary

needs begin to change. Foods that were once staples of your diet as a youth may be restricted once you hit a certain age, while other foods you may have always avoided may now be necessary to fuel and support a healthy body.

Eating healthy foods and exercising may not be enough to sustain health, as hormonal changes and other health effects as a person reaches age 50 can have a profound impact on his or her nutritional requirements. The following are a few things men and women over 50 may want to consider as they look to eat a healthy diet for years to come.Vitamin D

Both men and women age 50 and up have a reduced ability to produce vitamin D through exposure to the sun. Extra vitamin D will be needed from foods and supplements. Everyone over the age of 50 should take a daily vita-min D supplement of 400 IU (10 µg), according to Canada’s Food Guide. Without adequate vitamin D, bone strength and health can deteriorate because vitamin D promotes calcium absorption. Vitamin D also has other roles, including helping neuromuscular and immune function and reduc-

ing inflammation.Friendly fats

People over age 50 should in-crease their intake of unsaturated fats and reduce consumption of saturated fats. Nutrient-rich un-saturated fats can guard against heart conditions, protect against stroke, keep skin supple, and even help men and women main-tain good neurological health. Omega-3 fatty acids can be found in nuts, olives, seeds, and fatty fishes.Increase protein

According to Christine Gerb-stadt, MD, RD, a spokesperson for the Academy of Nutrition and Dietetics, as they age, men and women need more protein in their diets to maintain their muscle mass. The amount of pro-tein needed at a younger age no longer may be adequate. Look for lean sources of protein from fish and poultry. Beans are also a low-fat source of protein that can help fulfill daily protein requirements.More fiber

Eating more fiber can help with digestive and intestinal problems, such as constipation. Constipa-tion can occur when fiber intake is not enough, coupled with a more sedentary lifestyle. The best way to get fiber is through diet. Leave

the skins on fruit and vegetables and choose whole fruits over juices. Whole-grain breads and cereals also are good sources of fiber. Dry beans and lentils can add a fiber boost. Always increase fiber slowly to determine your tolerance.Fewer calories

The National Institute on Aging says women over the age of 50 need between 1,600 and 2,000 calories, depending on how physically active they are. Men need between 2,000 and 2,400 calories per day. With each pass-ing year there is a decrease in the energy required to maintain body

weight, so caloric intake should be adjusted accordingly.More water

As a person ages, his or her body may not signal it is thirsty as well as it once did, so it’s pos-sible that you may not recognize when you are thirsty or dehy-drated. The Mayo Clinic recom-mends around nine to 10 cups of beverages per day to remain hydrated.

Eating healthy and changing one’s diet is important as a per-son ages, as dietary needs at age 50 may be quite different from what they were at age 30.

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How to build and maintain strong bonesOsteoporosis, a disease

that causes bones to become weakened and brittle over time, affects millions of people across the globe. The Interna-tional Osteoporosis Foundation says an osteoporosis-related fracture occurs roughly once every 3 seconds, accounting for more than 8.9 million fractures a year.

Younger individuals typi-cally heal from fractures more quickly than older adults, who often discover that fractures greatly impede their mobility and quality of life.

Bone health is important at any age, but it is particularly crucial as a person gets older. Without a strong framework of bones, the body collapses

on itself and rates of fracture increase. Fortunately, there are several ways to keep and maintain strong bones.

Bones are largely made up of a protein called collagen, which is bound together by cal-cium and other trace minerals. Vitamin D and calcium work in concert, with vitamin D helping the body to absorb calcium so it can find its way into bones. Experts advise getting the right ratio of calcium, protein and vitamin D to safeguard against osteoporosis. The Institute of Medicine suggests that adults get between 600 and 800 inter-national units (IUs) of vitamin D every day, and between 1,000 and 1,300 milligrams of calcium daily. Dairy products,

– HOME HEALTH CARE –


such as low- and nonfat milk, yogurt and cheese, are high in calcium. Dark green veg-etables and almonds contain calcium in smaller amounts. Obtaining calcium and vitamin D through natural sources is always preferable, but doctors may suggest supplementa-tion if foods are not providing what a person needs to meet the minimum recommended levels.

Exercise is another impor-tant component of building strong bones. The National Osteoporosis Foundation says 30 minutes of exercise each day can help. Higher-intensity exercises should be mixed with lower-intensity workouts for the best results. Weight-bear-

ing exercises, such as hiking, dancing and stair-climbing, can build between 1 and 3 percent of bone. An exercise regimen also should include lifting weights or using resis-tance bands.

Activities that promote good posture and flexibility can help improve balance and align-ment of the body. Perform stretches smoothly and slowly after exercising to maintain your range of motion.

Quitting smoking also can promote strong bones. Smok-ing has been linked to poor skeletal health in both men and women, and the longer one smokes, the greater one’s risk for fracture.

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How to sleep better at nightThe National Sleep Founda-

tion notes that adults between the ages of 26 and 64 need an average of seven to nine hours of sleep per night. Such a sleep schedule may be ideal, but many adults juggling work and family find it difficult to get seven hours of sleep per night, much less eight or nine.

While there may not be any way for adults to get more sack time at night, there are ways for men and women to get a better night’s rest so they can approach each day with as much energy as possible.

• Stick to a schedule. Keeping a sporadic sleeping schedule can make it difficult to get the kind of restorative sleep that can help you maintain adequate energy

levels throughout the day. To ensure you get a better night’s sleep, go to sleep at the same time each night and wake up at the same time each day. Try to stay true to your sleep schedule on weekends, resisting the temp-tation to sleep in later or stay up late on Friday and Saturday nights.

• Nap effectively. Men and women who have the time to sneak in a nap may find that napping is a more effective way to make up for inadequate sleep than sleeping in late in the morn-ing. Effective napping allows men and women to recharge without affecting their ability to fall asleep at night. Napping in the early afternoon and keeping nap time to between 20 and 30

minutes can provide the energy boost you need and help you make it through the after-dinner hours without feeling drowsy. Such drowsiness can lead to

post-dinner periods of dozing that can make it difficult to fall asleep come bedtime.

• Adopt a nighttime ritual. The NSF notes that a relaxing

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nighttime ritual that is notice-ably different from the hustle and bustle of the rest of your day can help your body adjust for sleep, increasing the chance that you will get a more restful night’s sleep. Relaxing ways to unwind before climbing into to bed to fall asleep including reading a book, listening to calming music or taking a warm bath. Once you find something that works, stick with it.

• Find time to exercise. Studies have shown that men and women who exercise regu-larly benefit from more restful nights’ sleep. Finding the right time to exercise is essential, as many people find that exercis-ing right before bed elevates their heart and stimulates their

body in ways that make it dif-ficult to fall asleep. Exercising in the early morning can provide more energy throughout the day, and come bedtime your body might be more ready to fall asleep. However, if you find yourself exercising at the expense of your sleep, try to find another time to get your workout in.

• Ensure your bedroom is sleep-friendly. The NSF recom-mends maintaining a relatively cool temperature between 60 and 67 F in your bedroom for sleeping. In addition, eliminate any potential distractions, such as light and noise, that can negatively affect your abil-ity to fall asleep. Humidifiers, eye shades or even machines

that generate white noise can effectively counter any distrac-tions that you cannot get rid of on your own.

A good night’s sleep is es-

sential to human health. Men and women struggling to get adequate, beneficial sleep can employ a host of strategies to

improve their quality of life.

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– MEDICAL CLINIC –


Get relief from sunburnSunburn is something nearly

everyone will experience at least once in their lifetimes. Though men, women and children should look to prevent sunburn entirely, sometimes sunburns occur, making those exposed to too much sun uncomfortable and possibly even dealing with considerable pain.

Sunburn is marked by red, sensitive skin that can be hot to the touch. Inflammation and blistering may occur. The Skin Cancer Foundation says that while sunburn may seem like a temporary irritation, it can cause long-lasting damage to the skin. Treating sunburn may require several different approaches.

• Get out of the sun the mo-ment you first feel irritation.

Your skin may not be red, but irritation may be the first indica-tion that you are being burned by the sun.

• Take cool baths or showers to relieve the pain and heat in the skin. Cool, damp towels also can do the trick.

• Use a moisturizing lotion with aloe vera. Avoid moisturiz-ers with petroleum, as they will lock in heat.

• The American Academy of Dermatology notes that sun-burn may lead to dehydration. Drink plenty of water to keep your body well hydrated.

• Blisters may occur if sun-burn is particularly bad. Do not succumb to the temptation of popping the blisters, as doing so may result in an infection.

• Take a dose of ibuprofen to reduce swelling and counteract the pain. Ibu-profen also may help prevent some long-term damage.

• If a blister-ing burn covers more than 20 percent of the body, seek med-ical attention. In addition, visit your physician if a sunburn is ac-companied by fever and chills.

• Keep sunburn covered up with tightly woven clothing to aid in healing.

Sunburn can be painful and increase your risk for skin cancer, so prevention and treatment should be taken seriously.

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21st Century Orthodontics + Invisalign

Orthodontists have moved teeth with metal wires for more than one hundred years. Starting 16 years ago the Align corpora-tion developed Invisalign to move teeth using plastic. Teeth move when pressure is place on them via wires, plastic, or a thumb or tongue habit. Impres-sions capture the form of the teeth which, along with x-rays, photographs, and a clinical

evaluation, provide the orthodon-tist with information to develop a treatment plan. This information is communicated to a techni-cian that utilizes the Invisalign software to move the teeth in a cartoon little by little until they fit together and function properly. The orthodontist approves the planned movement then aligners are manufacture and delivered. Each clear aligner is worn for two weeks (less if Acceledent is used) and are removed when eating or playing musical wind instruments.

We have seen many improve-ments with cars and computers since they were first invented and so tto with Invisalign. The predict-ability of movement, comfort, and quality of treatment results

have all significantly improved. It is pos-

sible to move individual

teeth and

specifically not move others. At least one orthodontist success-fully achieved part of his board certification using Invisalign. It is possible to move each tooth in any direction to correct gapped teeth, deep bite, under bite, open bite, crowding, cross-bite, and a bad bite.

Advantages over traditional braces include: flossing is easier,; no change in diet is needed; less root shortening and decalcifica-tion are seen; nickel allergy is not activated, cold sore/mouth ulces not caused, does not affect music making; and can be removed for speeches or acting.

Invisalign is uniquely differ-ent from traditional orthodontic treatment. Choose an orthodon-tist that has significant experience

(treated many patients) with Invis-align and you will be happy with your improved smile and bite.


– ORTHODONTIST –

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5 health screenings women shouldn’t miss

A nutritious diet and daily exercise can promote long-term health, but preventative care also plays a key role in keeping adults healthy as they age. Routine health screenings can head off potential problems, preventing illnesses and possibly limiting the duration of sickness.

Women may have longer life expectancies than their male counterparts, but that does not mean they can afford to overlook preventative care. The following are five health screenings women should include as part of their healthy routines.

1. Pap tests and pelvic exams: Beginning at age 21 (or earlier if

they are sexually active), every woman should get regular Pap smears and pelvic exams to test for any abnormalities in their reproductive systems. Pap smears may be suggested every two to three years depending on a womanÕs age. A routine visit with a gynecologist is recommended annually to discuss any changes or worrisome symptoms.

2. Mammograms and breast exams: In addition to conducting self examinations, women should get clinical manual breast exams. Women age 40 and older should get a manual breast exam each year and an annual or bi-annual mammogram.

3. Cholesterol checks: The ideal level of total cholesterol is below 200 mg/DL. Individuals with a higher level of cholesterol may be at a greater risk for heart disease. Cholesterol screenings can alert doctors to potential trouble and help them develop plans for their patients to lower cholesterol levels. Doctors may suggest dietary changes and ad-vise women to adopt more active lifestyles. Some doctors may even prescribe medication if choles-terol levels are especially high.

4. Skin examination and can-cer screening: Women should examine their skin every month for new moles or changes in exist-ing spots or moles to detect early signs of skin cancer. Be sure to check all areas of the body, as skin cancer can appear just about ev-erywhere. Some doctors perform

skin cancer screenings as part of routine physical exams, or women can visit a dermatologist.

5. Bone density screening: Those with a risk for osteoporosis, such as women with fractured bones or slender frames, should be screened earlier and more regularly than women without such histories or body types. Doctors generally recommend that women receive annual bone density screenings beginning at age 65. Healthy bones will show a T-score, or the measurement to determine bone density, of -1 or higher.

These suggested screenings and tests are based on gen-eral medical guidance. Women should work with their doctors to develop wellness schedules that promote their long-term health.

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– PATHOLOGY –

Certain health screenings are recommended for women at various stages in life.


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Medication safety tips for children and adults

Prescription and over-the-coun-ter medications can save lives and help people of all ages manage certain conditions. When used cor-rectly and under the guidance of a physician, medications are largely safe. ItÕs when medicines are used off-label, shared or taken in error that reactions and injury can occur.

The American Academy of Pe-diatrics and their Healthy Children Organization warns that more than 7,000 children visit hospital emergency rooms every year for problems related to medication errors. Children are not the only ones in danger. Adults can make mistakes with their medications as well. For example, seniors who may be managing several different types of medications can inad-vertently cause dangerous drug interactions by mixing the wrong pills.

Pharmacists work diligently to help prevent medication errors. However, the general public can also do their part. The American Society of Health-System Pharma-cists and the National Association of Boards of Pharmacy offer these medication safety tips.

• When a new medication is prescribed, ask the doctor to explain more about it, includ-ing its intended purpose and any common side effects to be expected.

• Make sure your doctor knows about all the medications you are taking, including non-prescription products, herbal remedies, dietary supplements, and vitamins. Some medica-tions do not mix with seemingly innocent ingredients. Keep a run-ning list of any medicines you take so you can easily and accurately share this information with your

physician.• Question anything that you

do not understand. Check the prescription for dosing informa-tion. For refills, make sure the refill information conforms to the original prescription strength.

• Fill all prescriptions at the same pharmacy and develop a rapport with the pharmacist so that potential drug interactions will be flagged. Pharmacists are well versed in medications and may be able to inform you as to the safety or risk involved in taking an over-the-counter product at the same time that you are on a prescription.

• Many pills look the same. If you are confused and taking mul-tiple medications, keep medica-tions in the original packaging and double-check the labels before taking any medications.

• Use the right dosing tools. A spoon from the kitchen is not accurate for measuring out a teaspoon of medication.

• If you take multiple medi-cations, use a pillbox to keep pills organized. The box makes it easier to manage medications and serves as a reminder if you have or have not taken a medication on a given day.

• Store medications as instructed on the label. The bath-room medicine cabinet may not be an ideal place to store medica-tions, as bathrooms get damp, and that can compromise the integrity of the pills. Also, bathroom cabi-nets are readily accessible by all, including kids. ItÕs better to store drugs out of sight and reach of children. Keep dangerous medica-tions locked away.

• Routinely discard expired or unneeded medications.

Medicine take-back programs for disposal are a good way to remove medicines from the home and reduce the chance that others may accidentally take the medicine.

• Consult with a doctor before beginning or ending medica-tion.

Medicines play important roles in personal health. When used correctly, medications are assets, but caution should always be taken to ensure safe usage and storage of any medi-cations.

TF154104

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How to handle setbacks in your workout routine

Few things frustrate athletes more than injuries. Sudden muscle pulls or the reemergence of nagging injuries can interrupt workout regimens and put athletes on the shelf until their injuries heal.

Some athletes may be tempted to fight through injuries and continue exercis-ing, but doing so can make injuries worse and lead to even more time spent on the sidelines. Athletes who suspect they might have suf-fered more than minor aches and pains should consider the following approach when

dealing with sudden setbacks in their workout routines.

• Visit a doctor. Medical websites like WebMD are valuable resources, but ath-letes should not assume that perusing such sites takes the place of visiting doctors. Self-diagnosing an injury, whether it’s with the help of a website or simply going on your own intuition, is not safe, as many fitness-related injuries share similar symptoms that make it easy for men and women without medical degrees to misdiagnose. Doctors can determine exactly what your injury is and help get you

on the path to recovery by prescribing medications or developing treatment plans. Such treatments can be the difference between a speedy recovery and one that lasts months on end.

• Recognize the impor-tance of patience. No two people heal the same, but patience with an injury is a part of every athlete’s heal-ing process. If you don’t allow time for an injury to heal or if you try to accelerate your healing process, the existing injury can worsen and you may even injure another part of your body while overcom-

pensating for your initial injury. Go into the healing process knowing it takes time, and be as patient as possible during your recovery.

• Be careful about the rest of your body. One of the problems many athletes encounter when dealing with an injury is the effect that injury has on other areas of your body. Athletes who perform strength training may be able to continue part of their regimen even after suffering an injury, but they should make note of their form to make sure their body is not overcompensating for

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– PROGRESSIVE CARE –

An injured athlete’s approach to recovery can go a long way toward deter-mining how quickly he or she returns to action.

the area that is injured. Doing so can lead to new injuries or even exacerbate the existing injury. When visiting a doctor, get a specific list of which exercises, if any, you can still perform while recovering. If you plan to weight train during your recovery, reduce the amount of weight you lift, which can help ensure your form remains correct.

• Report any new setbacks immediately. Some athletes suf-fer setbacks during their recover-ies, and while setbacks can be expected, they should not just be accepted as another hurdle to

clear. Report any setbacks to your physician immediately so he or she can advise you on the next steps to take.

• Return slowly. Once your in-jury has healed, keep in mind that you can’t just dive back in to your workout routine at full steam. Gradually increase the intensity of your workouts as your body once again acclimates itself to exercise.

Injury is a reality of life for many athletes. But how athletes handle their recoveries can affect how quickly they get back in the swing of things.

HW156270

If you have psoriasis, an autoimmune skin condition marked by red, flaky patches on the body, you also could be at risk for a certain type of arthritis. Psoriatic arthri-tis, which causes stiffness, swelling and pain in and around the joints, affects up to 30 percent of people with psoriasis, says the National Psoriasis Foundation. While psoriatic arthritis can develop at any time, it is most com-mon in people between the ages of 30 and 50. This type of arthritis can develop slowly or come on quickly and be severe. Just like pso-riasis itself, psoriatic arthritis

tends to go through periods of flare-up and remission. Typically, the skin condition precedes the joint disease in 85 percent of patients. Keep in mind that a severe case of psoriasis will not necessarly translate into a severe case of arthritis. Psoriatic arthritis may be treated like other forms of arthritis. Doctors may prescribe anti-inflam-matory drugs, antirheumatic drugs, exercise, and comple-mentary therapies. Those who have psoriasis and have begun to experience joint pain and stiffness should talk to a doctor about potential therapies.

LP153965

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Recommended immunizations for those age 50+

Routine immunizations can keep people safe and healthy. Certain vac-cinations can prevent diseases from producing symptoms, while others can lessen the duration of an illness or make conditions less severe.

Vaccination schedules become a way of life for parents to young chil-dren. But vaccinations aren’t just for kids, and adults should keep tabs on their immunization histories to ensure they’re up-to-date with vaccinations for their particular age group and lifestyle.

The Centers for Disease Control and Prevention warns that the elderly are more likely to die of a vaccine-prevent-able disease than other age groups. The immune system begins to decline

as we age, so the body can benefit from the disease-fighting boost pro-vided by vaccinations. Individuals at any age should discuss immunizations with their doctors, but it’s a particularly important conversation for those age 50 and older.

Vaccine schedules and recom-mendations may vary depending on where a person lives, but the following immunization recommendations are offered courtesy of the CDC.

• Influenza: An annual flu shot can help prevent the nearly 36,000 deaths that occur due to flu each year in the United States. The flu vaccine is designed to combat the current strain of flu, so it is recommended anytime between September to March, which

is the prime flu season. People age 50 and older should opt for the injection rather than the nasal form of the vaccine.

• Tdap: This vaccine protects against tetanus, diphtheria and pertussis and is especially necessary for people who have close contact with young infants. Pertussis, or whooping cough, can be passed on to youngsters and make them very ill. If you’ve never received a Tdap vaccine, the CDC suggests get-ting it at least once. Individual tetanus boosters should be received every 10 years.

• Pneumococcal: Pneumococcal disease is an infection caused by the pneumococcus bacteria. It can cause pneumonia, blood infection, ear infec-

tions, and even bacterial meningitis. This vaccine is given to adults age 65 and older or to younger adults at their physicians’ discretion.

• Hepatitis A: Individuals with medical, occupational or lifestyle con-ditions, such as healthcare workers or people with chronic liver disease, may need a two-dose series of the hepatitis A vaccine.

Adults who are avid travelers to various parts of the world that may bring them in contact with animals or people who do not receive the same course of immunizations may need additional vaccines. Speak with a doc-tor about which immunizations are recommended before travel.

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Keep your heart running strong into your golden years

Heart health should be a concern for people of all ages, but especially so for men and women over 50. That’s because, according to the American Heart Associa-tion, even men and women who are free of cardiovascular disease at age 50 are at a significant lifetime risk of developing the disease.

But heart disease does not have to be an accepted byprod-uct of aging. For example, a 2014 study published in the AHA journal Circulation found that maintaining or increasing physical activity after age 65 can improve the heartÕs well-being and lower risk of heart attack.

In addition to increasing physi-cal activity as they age, older men and women who understand heart disease and learn to recog-nize its symptoms have a greater chance of minimizing its affects and lowering their risk of having a heart attack.

What are the symptoms of heart disease?

Heart disease is a blanket term used to describe a host of condi-tions, so symptoms vary depend-ing on each individual condition. The following are some of the more widely known conditions

and their symptoms:• Hypertension: Also known

as high blood pressure, hyperten-sion is a largely symptomless form of heart disease. The AHA notes that the idea that hypertension produces symptoms such as difficulty sleeping, facial flush-ing, nervousness, and sweating is a misconception. Symptoms typically do not alert men and women to the presence of hyper-tension, highlighting the empha-sis men and women should place on routine visits to the doctor’s office, where their blood pressure

can be taken.• Heart attack: The symptoms

of a heart attack are different than the symptoms of heart disease that may lead to heart attack. The former can be found by visiting www.heart.org. Signs that you may be heading toward a heart attack include undue fatigue, pal-pitations (the sensation that your heart is skipping a beat or beating too rapidly), dyspnea (difficulty or labored breathing), chest pain or discomfort from increased activity.

• Arrhythmia: Arrhythmia

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– RETIREMENT –

means your heartbeat is irregu-lar, and men and women often mistakenly believe arrhythmia only afflicts those who already have been diagnosed with heart disease or have had a heart attack. But arrhythmia can affect even those men and women who have healthy hearts and no history of cardiovascular disease. Symptoms of arrhythmia can vary greatly, from a single premature beat to a series of premature beats that occur in rapid succession. Ar-rhythmia that lasts long enough to affect heart function may include symptoms such as rapid heart-beat, fatigue, dizziness, lighthead-edness, shortness of breath, and chest pain.

How can I protect my heart?

Heart healthy habits take some

effort, but men and women can protect their hearts regardless of their ages.

• Get sufficient exercise. At least 30 minutes of exercise per day can protect against disease.

• Quit smoking. Smoking increases your risk for a host of ailments, including heart disease. Quitting is a great way to start get-ting your heart and other parts of your body back on track.

• Include heart-healthy foods in your diet. A diet that is rich in fruits and vegetables and low in cholesterol, salt and saturated fat promotes heart health.

• Don’t drink alcohol to excess. Like smoking, drinking alcohol to excess can lead to a host of prob-lems, such as high blood pressure, arrhythmia and high cholesterol, each of which increases your risk of heart disease.

• Lose weight. Being over-

weight or obese is a major risk factor for heart disease. If you have already started to exercise daily and eat a more heart-healthy diet, then you’re on your way to losing weight. Consult your physician if diet and exercise don’t seem to be helping you to shed pounds.

Heart disease kills millions of people across the globe each year, many of whom are over 50. But men and women who learn about heart disease and how to reduce their risk stand a far greater chance of fight-ing the disease.

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Yearly eye exams can reveal more than just vision trouble

More evidence points to the importance of routine eye exams, not only to pinpoint potential conditions of the eye, but also to serve as windows to diseases that affect the entire body. Now more than ever it is essential to make and keep annual eye exams, as they can help to reveal the first signs of serious ailments.

Doctors from around the world say dozens of diseases – from certain cancers to arthri-tis to high blood pressure – can show symptoms in the eye. Under the watchful and know-ing gaze of an eyecare profes-sional, individuals can get early

diagnosis and begin treatment promptly.

According to Dr. Roy Chuck, chair of the Department of Ophthalmology and Visual Sci-ences at Albert Einstein College of Medicine and Montefiore Medical Center, there are many systemic diseases that can be seen in the eye. In addition to the conditions mentioned, jaun-dice can indicate liver disease while retinal detachment and bleeding in new blood vessels may indicate hypertension. By looking at the color of the cornea, some doctors can tell if a patient has elevated levels of cholesterol. Many people have

had their eye doctors be the first healthcare professional to detect the presence of their diabe-tes.

If an oph-thalmologist suspects an underly-ing medical condition, he or she will likely refer men and women to their primary care doctors for a more thorough examination.

Going to the eye doctor can

do more than ensure your vi-sion is sharp. It’s a life-saving decision for many people who have major health conditions diagnosed through the eyes.

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Documents

Health Beat, 2015