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May 23, 2017 By Azra Faizan 22 Comments

Why you need to strengthen your core?

plank-variations

‘You need to work on strengthening the core’

‘Why not start with some core strengthening exercises’

How often have you heard this line from a fitness trainer/doctor/health coach??

Now, how many of you know exactly what the core is??  My guess would be ‘we have a general idea, though not sure’

So let me try and explain first, what ‘the core’ is…

I do not want to bore you with the scientific names of the muscles consisting of the core, which I’m sure nobody would understand and everybody would just scroll over.

So to make it simple, the core of the body is broadly considered to be the torso.

It is a complex series of muscles, extending far beyond your abs, including everything besides your arms and legs. The major muscles of the core reside in the area of the belly and the mid and lower back, and peripherally include the hips, the shoulders and the neck.

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It is incorporated in almost every movement of the human body. Functional movements are highly dependent on this part of the body, and lack of core muscular development can result in a predisposition to injury.

The core forms a sturdy central link between your upper and lower body. Much like the trunk of a tree, core muscles need to be strong yet flexible. A weak or inflexible core drains power from many movements and can make it downright difficult to do some.

Functions:

  1. Contains and protects the internal organs –You will notice that this part of your body (core) doesn’t have many bones, except for the spine and some floating ribs, yet it contains many important internal organs that need to be kept safe and sound. Without the bony structure to rely on, the entire area needs to be wrapped up tightly to maintain the integrity of its contents. So I like to think of our core musculature as a tightly wrapped package protecting the internal organs.
  1. Ensures greater mobility of the spine and trunk –Because of the way our core musculature is organized, it allows a great range of movement in the trunk. It allows us to bend forward, backwards, sideways, twist and do combinations of those.
  • Stabilizes the top part of the body over the bottom part- the core determines to a large part a person’s posture. In all, the human anatomy is built to take force upon the bones and direct autonomic force, through various joints, in the desired direction. The core muscles align the spine, ribs, and pelvis of a person to resist a specific force, whether static or dynamic.
  1. Controls the pelvic-lumbar relationship – The core is used to stabilize the thorax and the pelvis during dynamic movement and it also provides internal pressure to expel substances such as urine (continence),feces, air, vomit and also for labor and childbirth in women,

Core Stability:

In essence, core stability means ‘stability of the spine’, ‘core strength’ is the ability to support your spine and keep your body stable and balanced.  It is the strength that allows you to perform manual tasks safely and effectively in everyday life.

There are “five different components of core stability: strength, endurance, flexibility, motor control, and function”. Without motor control and function, the other three components are useless, like a fish flopping out of water no matter how strong you are or how much endurance you have.

I like to believe that core strength is as vital as most of the major organs in the body, let me tell you why –

  • Muscular tone helps blood circulate more effectively once it’s pumped from your heart. Core muscles are no exception, and when your core is strong you can notice an improvement in blood circulation.
  • Core stability promotes healthierdigestion. The digestive system contains a lot of blood vessels and when the core area is stagnant, the whole digestive system may feel more sluggish too. You may see increased bloating, discomfort, and indigestion associated with meals. The digestive system also contains a large and essential part of the immune system. Core strength can help support your body’s immunity too as it rounds out healthy digestion and circulation.
  • Because the diaphragm is located near the core, core strength promotes deeper and higher quality breathing.
  • Because the pelvis is located near the core, women may find relief from cramps and PMS around the menstrual cycle after strengthening core muscles. Women use their core muscles during labor and delivery too, and having a strong core, help in an easier labor.
  • Finally, the physical balance that comes from supporting your core can extend to yourmental-emotional health as well. Physical balance promotes a sense of calm, steadiness, and support.

How to Measure your core strength –

Let’s end with a fun activity!!

Let’s all of us measure our core strength, this way even people with regular exercise (including me) will know where we stand and how much further we need to work for a strong core..

Core Muscle Strength & Stability Test was designed by Brian Mackenzie, a senior athletics coach with UK Athletics, the United Kingdom’s National Governing body for Track and Field Athletics.

Preferably use a mat for performing this test, to get accurate results.

  1. Position a stop watch where you can easily see it
  2. Start in the Plank Exercise Position (elbows on the ground)
    Hold for 60 seconds
  3. Lift your right arm off the ground, Hold for 15 seconds
  4. Return your right arm to the ground and lift the left arm off the ground, Hold for 15 seconds
  5. Return your left arm to the ground and lift the right leg off the ground, Hold for 15 seconds
  6. Return your right leg to the ground and lift the left leg off the ground, Hold for 15 seconds
  7. Lift your left leg and right arm off the ground. Hold for 15 seconds
  8. Return you left leg and right arm to the ground
  9. Lift your right leg and left arm off the ground, Hold for 15 seconds
  10. Return to the Plank Exercise Position (elbows on the ground), Hold this position for 30 seconds

Results

  • Good Core Strength
    If you can complete the test fully, you have good core strength.
  • Poor Core Strength
    if you cannot complete the test fully, your core strength needs improvement.
    Poor core strength results in unnecessary torso movement and swaying during all other athletic movements. People with poor core strength are  more likely to suffer from back injuries, and the likelihood of other peripheral injuries also increases in those with a weak core

This results in wasted energy and poor biomechanics.

If you are unable to complete the test practice the routine three or four times each week until you improve.

By comparing your results over time, you will note improvements or declines in core strength.

April 28, 2017 By Dr. Viral Thakkar 12 Comments

Make Love: It’s Fun & Beneficial!

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It cannot be denied, sex if consensual can be a lot of fun and has numerous benefits. In this blog, I will refer to ‘sex’ as ‘making love’, since that is exactly what I mean. The article will take you through the benefits of “making love” and not “sex”! So if you have a partner who is not that much “into it”, get them to read this blog and be ready for some fun!

love-making
Psychological Effect:
Making love has numerous psychological benefits. I am not referring to people into extensive meditation and the ones who have been able to channelise this sexual energy. But, for us ‘mortals’, sex is healthy. There is a deep energetic connection that bonds two people when they make love and it is not just the intermingling of juices.

Kamasutra not only describes the different ways to physical intimacy but, also speaks about equally involving your partner and developing a synergy for greater fulfilment. The physical bond builds an emotional connect which eventually leads to a happy family life. If you want to feel more connected to your partner, consider the simple act of saying “yes” to your partner, and see the shift in dynamics. If you’re both honoring each other correctly, sex will most likely help you feel closer to your love. Not to mention suppression of this primal need can distract a person from his routine activities, so might as well just do it and be happy.

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Physical Effect:
Making love releases endorphins and oxytocin, and these feel-good hormones activate pleasure centers in the brain that create feelings of intimacy and relaxation, keeping anxiety and depression at bay. You don’t have to climax for the effects but, there is a surge of soothing hormones if you have an orgasm.

The same endorphins that help you de-stress can also relax your mind and body, and makes you sleep well. But, if you’re wild in the sack, highly active session can make you feel more energized than sleepy. Let it not be a snooze but, if you are sleeping thereafter, opt for a subdued session.

The endorphins that are released during an orgasm closely resemble morphine, and they effectively relieve pain. Have a migraine?? Even if your partner isn’t around, medicate by treating yourself with some solo sex!

Use your healthy days as sex days! People who have sex regularly were found to have higher levels of an antibody called immunoglobulin A (IgA), according to researchers at Wilkes University in Pennsylvania. These antibodies help combat diseases, enhances immunity & keeps the body safe from colds and flu.

Making love decreases the risk of prostate cancer as well. What better reason than this to slip into sheets with your partner!

Apart from making you feel good, making love makes you young and vital due to release of testosterone and estrogen. Estrogen also promotes soft skin and shiny hair.

The uterus contracts during orgasms and in the process, rids the body of cramp-causing compounds. The increased number of uterine contractions can also help expel blood and tissue more quickly, helping to end your period faster.

Sexual activity = modest workout on a treadmill. A romp can burn anywhere from 85 to 250 calories, depending on the length of the session. Your abs, back muscles, butt & thighs get a good workout.

It is also a workout for your pelvic floor muscles. When you have an orgasm, it causes contractions in those muscles, which strengthens them.

Slipping into the sheets with the one you love lowers your blood pressure & is good for your heart, because you are naturally in a relaxed state. It lowers your cholesterol by tipping the high density lipoprotein (HDL)/ Lower density lipoprotein (LDL). It keeps your estrogen and testosterone levels in balance; unbalance increases risk of osteoporosis and even heart disease.

Remember, the benefits listed above is for “making love” which implies consensual physical intimacy. Ensure when you indulge, it is consensual and preferably with one partner. Multiple partners creates a havoc with the body apart from creating risk of STDs (Many Indian scriptures stress on having one sexual partner because the cells in our body remember every physical touch on a subconscious level. Too many physical interaction lead to psychological & physical issues.).
Be safe and have a good time!

December 15, 2016 By Dr Darshana Salve 1 Comment

Do You Really need an Antibiotic??

Pills

It’s December and with the slight nip in the air or with temperatures dropping come to all common illnesses like fever, cold, cough, sore throat, body ache etc. It’s a very common sight to find most people self-medicating with antibiotics. Every second person knows about it from the previous prescription or just by walking into the chemist’s store voicing their symptoms and getting their strip of antibiotics, like Azithromycin, Erythromycin, Amoxicillin, Cefuroxime, Cefixime etc. But, I really doubt if these people even know what antibiotics are and what they are used for!

Most of the people have this notion that it is a magic pill for common ailments like cold, cough, fever.  Also, most are of the belief that with one or two doses of these tabs, they will be immediately cured of their ailment.

Well yes, I would say it is a magic pill but only for BACTERIAL INFECTIONS! Not all cold , cough, fever are due to bacterial infections, many a times its of viral infections which are self-limiting and needs to be controlled with paracetamol, taking rest and antibiotics have no role in treating viral infections.

So what are Antibiotics?
Antibiotics are powerful medicines that fight bacterial infections. When used properly, antibiotics save lives. They either kill bacteria or keep them from reproducing. Your body’s natural defenses can usually take it from there.
Common viral infections that do not benefit from antibiotic treatment include:

  • Cold
  • Flu (influenza)
  • Most coughs
  • Most sore throats
  • Some ear infections
  • Some sinus infections
  • Stomach flu (viral gastroenteritis)

Frequent and irrational use of antibiotics can cause Antibiotic resistance. Antibiotic resistance occurs when an antibiotic has lost its ability to effectively control or kill bacterial growth; in other words, the bacteria are “resistant” and continue to multiply in the presence of therapeutic levels of an antibiotic leading to treatment complications and increased healthcare costs.

In spite of growing awareness of antibiotic resistance in recent years, overuse still occurs for a number of reasons:

  • Doctors may prescribe antibiotics before receiving test results that identify the actual cause of infection.
  • People who want quick relief from symptoms, regardless of the cause of illness, may pressure doctors for antibiotic prescriptions.
  • People may take antibiotics over the counter or via the Internet for self-diagnosed illnesses.
  • People may take antibiotics that are leftover from a previous prescription.

Consequences of Antibiotic resistance

  • More-serious illness or disability
  • More deaths from previously treatable illnesses
  • Prolonged recovery
  • More-frequent or longer hospitalization
  • More doctor visits
  • More-expensive treatments

“Then what do we do to get better”, patients ask??

Antibiotic Stewardship is the answer for this problem which is basically the appropriate use of antibiotics.

Many hospitals and medical associations have implemented new diagnostic and treatment guidelines to ensure effective treatments for bacterial infections and reduce inappropriate use of antibiotics.

The public also plays a role in antibiotic stewardship. You can help reduce the development of antibiotic resistance by taking the following steps:

  • Use antibiotics only as prescribed by your doctor.
  • Take the correct daily dosage and complete the entire course of treatment.
  • If for some reason you have leftover antibiotics, kindly consult your Doctor before self-popping as they might not be the correct antibiotic.
  • Never take antibiotics prescribed for another person.
  • Don’t pressure your doctor to give you an antibiotic prescription. Ask your doctor for advice on how to treat symptoms and look into Lifestyle options for better prevention.
  • Practice good hygiene.

As for viral infections like common flu, we can fight it by building our immunity by modifying our lifestyle for the better. Eat right, exercise often, de-stress and make sure you sleep well to give your body the much needed rest.

So let’s bid adieu to 2016 on a healthy note and a pledge to Stop Antibiotic Resistance!

December 1, 2016 By Dr Manali Rao Leave a Comment

Living Healthy with HIV – Reality or Myth

 

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Have you seen the latest#CondomEmoji campaign by Durex, the Global Sexual-well-being brand depicting an “Umbrella with Raindrops”? This was the unofficial safe sex emoji launched ahead of World AIDS Day today. It was an interesting campaign to communicate ‘Safe Sex’ among the young adults. The campaign called for putting a safe sex emoji on every smartphone in order to help young people communicate about safe sex. The campaign has trended both on Twitter and Facebook with supporters from over 160 countries backing the movement.

The survey findings noted while more than 60 per cent of young people surveyed admitted to being uncomfortable discussing safe sex, 72 per cent of respondents admitted that they found it easier to express emotions using emojis and more than three quarters admitted that they use emojis to discuss sex and relationships.

Why is this discomfort about talking of sex or sex related diseases such as HIV/Aids even in the 21st Century?
One of my earliest memories of AIDS would be the movie PHILADELPHIA where Tom Hanks sues his Company for being fired from his workspace for being HIV positive.

Whenever we hear the word AIDS or HIV the word itself it creates a lot of fear and makes one judgmental. This is not the case only among the lay man but also is the case equal judgment, not only among general public but also within the medical fraternity. Unfortunately more than a the disease, AIDS is considered to be a social stigma and a taboo.
It’s become imperative to understand why this stigma is attached to HIV/AIDS?

AIDS (Acquired Immunodeficiency Syndrome) as we all know is a syndrome caused by the Human Immunodeficiency Virus (HIV) which directly attacks the immune system of the patient leaving the body vulnerable to a host of infections. Aids is the last stage of HIV infection where the disease progresses and the body can no longer defend itself leading to more severe infections, malignancies and eventually death (if left untreated).
Let me try to look into the ways one can get infected with this Virus which are considered some of the main reasons for fear and stigma.

1. Unprotected sex- with an individual who is infected with HIV is the biggest cause of new HIV cases be it vaginal or anal sex. Oral sex also predisposes one to HIV if there are any cuts, ulcers or sores in the mouth. Wearing a condom is the easiest way to protect yourself and your partner against the disease. Unprotected Sex is more prevalent among young adults.
2. Blood transfusion with infected blood. This is one of the most unfortunate ways to contract the disease as the recipient is unaware of the blood being infected. It is always a good idea to make sure that the blood has been screened for HIV infection.
3. HIV infected mother can pass on the virus to her baby during pregnancy lactation or even delivery. These mothers can now take treatment to protect their babies.
4. Sharing razors or needles with infected people also puts you at risk of contracting the virus like in the case of drug abuse or needle prick in hospital.
In short the virus can be transmitted through infected blood, semen and vaginal fluids. In fact, when the disease first came to light in India, it was the sex workers and their clients who had the maximum prevalence followed by truck drivers.

The latest ‘DIPPER’ at night campaign where the Condom is disguised as the dipper is a great way to create awareness among truck drivers in India to frequent sex workers often.
But, honestly it’s not so bad as it’s been made out to be over the years. Currently, experiments are being conducted to find a cure for this disease. The good news in India is that we are seeing an overall reduction in HIV infections among the adult population.

According to more recent National AIDS Control Organisation data, India has demonstrated an overall reduction of 57 percent in estimated annual new HIV infections (among adult population) from 0.274 million in 2000 to 0.116 million in 2011.

HIV-data pic

India has the third largest number of people living with HIV in the world, according WHO.

LIVING WITH HIV / AIDS:

It’s not as bad. One can live with HIV.

The diagnosis is confirmed by a blood test and depending on the extent of severity of the immune deficiency, anti-viral medication is started which improves the number of immune cells which help fight infections and restore near normal life.

The medicines though expensive are distributed free of cost to patients at Government and NGO run clinics.Psychological help for not getting overwhelmed after the diagnosis, is also readily available. Confiding in a trusted person who won’t be judgmental. Judgmental helps in calming your nerves.

One must realize and believe that they can live to their potential  inspite of being HIV positive. Having social and emotional support is very essential, hence patients must not isolate themselves from their near and dear ones and f.amily and friends should also not ostracize the patient.

The Constitution of India prevents any discrimination against anyone having HIV and AIDS and neither is it a legal ground for dismissal from occupational services.

Patients living with HIV must maintain a healthy lifestyle just like diabetics or any other chronic disorders. Having a healthy diet and exercising regularly are a must to boost your immunity along with the medication. Till date HIV and AIDS has no cure but anti-retroviral therapy (ART medicines) are helping people live a healthy and happy life for almost 2 to 3 decades.

Currently, Art drugs have become ‘very good’ at controlling infection but patients need use the medication for life. If they stop the treatment, the virus rapidly replicates, eventually leading to the fatal AIDS disease.

Pregnant mothers have successfully delivered children without HIV with the help of anti-viral medication.
Lot of research by brilliant minds is being done around the globe to find more effective medicines and a cure.
HIV facts to know

• According to the WHO, more than 70 million people have been infected with HIV so far and about 35 million people have died of from the virus.

• In 2015, an estimated 36.7 million people were living with HIV and so far the infection remains incurable.

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