Healthy Fitness and Diet

Archive for February, 2010

When at our mother’s knee, we all hear this friendly voice warning us never to forget, “The world is full of thieves and villains.” It first surfaces in unexplained instructions never to walk off with adults we do not know. This is “stranger danger” and it’s only in later years we realize how many predators there are and what they want. Then come all the other warnings about value. This is the “if it’s cheap, it must be bad value warning. Yet, remarkably, we never seem to care when buying a fake Rolex for a few dollars. It just seems like a fun thing to be able to wrap round our wrists and impress our friends for a few hours. The fact this may be stealing from the owners of the brand in some way never seems to connect. Well, ladies and gentlemen, here’s an adult warning for you. There are folk out there on the internet who want to steal from you and, this time, it’s personal. You are the ones who will bear the loss. These particular thieves pick a product where your own defenses may be down. This is the erectile dysfunction market. It exists in both a direct and indirect form.

On the direct sites, these businesses claim to be selling the little blue pills at a fraction the usual retail price. They are full of convincing explanations and promises. All you have to do is send the money and await results. The safer version simply disappears with your money and never troubles the mailman. This is the “smash and grab” approach to theft. There’s no subtlety involved. Like the robber who bashes you over the head to steal your wallet, these guys advertize and run. The more dangerous actually send you some pills. If you are lucky, these pills are completely harmless and will not injure you in any way. If you are unlucky, the pills contain something dangerous and they make you ill. So only buy from trusted online pharmacies. That way you get the real product.

All of which brings me to the latest news out of the FDA. It’s their job to police the way in which all drugs and “natural” products are sold. They have just added Stiff Nights to the list of some 24 similar products offered for sale over the last four years. This was a male enhancement product, coming with claims to make you a spectacular sexual athlete using only completely natural ingredients. These ads play on your insecurities and, for a high price, offer you the answer to all your prayers (whatever they are). Well, Stiff Nights was a highly effective product. As the word-of-mouth confirmed, it produced really hard erections. The reason? The manufacturer mixed in viagra. Instead of this being an all natural product as claimed, it was the little blue pill repacked and sold on at an inflated price. So make to our idioms. If it looks too good to be true, it probably is. Do not be taken in by empty promises. There is no need to spend your hard-earned dollars on enhancement products. Buy viagra online from one of the trusted online pharmacies and get spectacular erections for a really low price – the best value-for-money pills on the market, bar none.

The injuries we pick up when playing sports fall into two main classes. In contact sports, there are serious risks of broken bones, torn tendons or ligaments, or strains. The other less physical sports leave it to the players to damage themselves by repeating the same muscle movements excessively. So tennis, badminton and squash players find repetitive strain injury to their elbows. Runners damage their knees. Focussing on the muscle injuries, strains and tears always have the same pattern. You damage the tissue in the muscles or ligaments, and this produces inflammation. Pain, swelling and loss of function follow. For a professional athlete, being unable to turn out for the team or to play the next big tournament can have serious financial implications. Doctors who specialize in sports injuries are therefore employed by all the top teams in football, baseball and soccer. The plan is always to get the stars back on the field again as quickly as possible. Except this can be controversial because, sometimes, treatment is accelerated for a particular match rather than for the benefit of the player’s long-term career. Many top players have had their careers cut short by knee injuries when their teams owner’s were too ambitious for success.

The inflammation is actually the first stage in the healing process. It encourages the growth of scar tissue that binds the torn tissue back together again. Doctors interfere in this natural cycle. The problem is simple. The average cycle of inflammation lasts about five days but, sometimes, it can go on too long and this delays the resumption of training. Thus, the first response is rest during the one or two days following injury. Therapies vary. Pick from heat, cold, compression, elevation and, where money is no object, the use of expensive technology like hyperbaric chambers. Drugs can be used to dull the pain, reduce the inflammation and so speed up the healing process. If the player is finding the affected muscles tensing up, skelaxin is the standard response the relax the affected muscles.

It’s important to understand that painkillers, anti-inflammatories and muscle relaxants do not treat the injury itself. Their only effect is to make you more comfortable during the initial phase of the healing process. Assuming surgery is not indicated for a more serious injury, say to the knee, your body will (slowly) heal itself. Except, of course, where money, status or pride is involved, people will spend the money and invest the time to improve on the natural process. Although everyone should always wait before resuming training, the passion and commitment that makes good players into the best also drives them to take shortcuts. So, with the help of skelaxin during the resting phase, the player can slowly move on to stretching exercises and, initially, gentle exercise to regain mobility in the affected area. It’s best if no painkillers are used. Pain is a very useful warning you are trying too hard. There’s a serious risk you will aggravate the injury if you resume full training too early. Unless there’s a particular reason why you have to play, you should only move through the training regime at a safe pace. The risk of long-term damage and even longer layoffs is waiting to overtake you. In all this, you should be guided by your doctor and physical therapist. Assuming they are offering independent advice, they should guide you back to a long and successful playing career (whether as a professional or an amateur).

For these purposes, we need to start off with a basic definition. Pain is nothing more than a message sent by the affected part of your body to the brain saying you are injured. It’s useful when it first alerts you to an injury or disease. It’s a problem in its own right when it will not shut down and let you get on with your life. Doctors distinguish between two types of pain: acute pain is where an injury or illness can be cured so the pain will slowly fade as the treatment of the cause takes effect, and chronic pain where the injury or disorder will continue to cause you pain over a long period of time. It’s not so hard to remain optimistic and positive when the pain is acute. You know you will get better. It’s a different psychological battle when the pain is chronic. This is life-changing and many people react by feeling some degree of depression.

In an ideal world, everyone suffering from chronic pain would be given personal attention. Specialists from all the different areas of medicine would form a team to investigate your condition and then prescribe the best set of responses. Unfortunately, this is not possible. The career path for physicians assumes the best will become specialists and rise through the ranks to lead a team of specialists. Status will be decided by the number of people in the team or department the doctor ends up running. For pain management to work effectively, this structure of separate kingdoms has to be dismantled and everyone works together in teams centered on individual patient needs. No more empire building and politics. Doctors supply the most effective treatments based on a diagnosis of the underlying cause of the pain. Take back pain as an example. If the hospital works together, the relevant tests can be performed. Let’s assume the cause is found to be a herniated disk. The recommended treatment is a steroid injection and physical therapy. A caring hospital might also throw in some counseling and support to encourage the patient to make the best possible recovery. In this model, diagnosis drives the choice of treatment. In the world now, the doctors first choice of action is a painkiller to relieve your suffering. No doubt this could be seen as caring. In reality, it’s the most cost-effective way of persuading the patient to go home and allows the hospital to claim the maximum amount from the health insurance company. A separate pain management department in a hospital is labor intensive and less profitable. They do exist but only in a few cities.

This leaves pain management in the hands of the pharmaceutical industry. Fortunately, the research and development teams have come up with a world’s best painkiller. It’s called tramadol – one of the so-called opiates which gives you good pain relief without many of the adverse side effects from a full opiate. A vast amount of practical experience proves this drug gives effective relief from moderate to severe pain. If you are facing chronic pain, buy tramadol and find an improvement to your life. But always remember you should not become dependent on any drug. Ignoring the expense of buying these pills for the rest of your life, there are physical costs in using drugs over long periods of time. There are better ways of managing your pain without drugs.