Friday, November 7, 2008

Knee Pain Syndrome

Knee Pain Syndrome
Patellofemoral pain syndrome (PFPS), or anterior knee pain syndrome, is pain under and around the kneecap that can’t be explained by other causes, such as tendinitis or bursitis. This syndrome also goes by other names. One is tracking disorder, because the patella tends to pull toward the outside. Another is chondromalacia patellae, meaning softening of the cartilage, because over time a rough-riding kneecap causes wear and tear on the cartilage beneath it, eventually leading to osteoarthritis. Patellofemoral pain syndrome is more common in women over 40 and in physically active teenage girls. Three major factors are involved, although their relative contributions can differ greatly from person to person:
Malalignment: People with a high Q-angle are at higher risk, as are people whose arches flatten with each step.
Muscle imbalance and tightness: Tight hamstrings, calves, and hip muscles increase the pressure between the kneecap and the thighbone. Of the four quadriceps muscles, three pull the kneecap toward the outside; if the innermost quadriceps muscle is relatively weak, this can create tracking problems.
Overuse: Bending the knee moves the patella tighter against the femur. Patellofemoral pain worsens with activities that put weight on the knee while it is bent, such as squatting or running on steps and hills.

from: everyday health

Thursday, November 6, 2008

What Is Complementary and Alternative Medicine?

Complementary and alternative medicine (CAM) is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Conventional medicine is medicine as practiced by holders of M.D. (medical doctor) or D.O. (doctor of osteopathy) degrees and by their allied health professionals, such as physical therapists, psychologists, and registered nurses. Some health care providers practice both CAM and conventional medicine. While some scientific evidence exists regarding some CAM therapies, for most there are key questions that are yet to be answered through well-designed scientific studies--questions such as whether these therapies are safe and whether they work for the diseases or medical conditions for which they are used.

The list of what is considered to be CAM changes continually, as those therapies that are proven to be safe and effective become adopted into conventional health care and as new approaches to health care emerge.

Are complementary medicine and alternative medicine different from each other?

Yes, they are different.
Complementary medicine is used together with conventional medicine. An example of a complementary therapy is using aromatherapy to help lessen a patient's discomfort following surgery.
Alternative medicine is used in place of conventional medicine. An example of an alternative therapy is using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional doctor.
What is integrative medicine?

Integrative medicine combines treatments from conventional medicine and CAM for which there is some high-quality evidence of safety and effectiveness. It is also called integrated medicine.

What are the major types of complementary and alternative medicine?

NCCAM groups CAM practices into four domains, recognizing there can be some overlap. In addition, NCCAM studies CAM whole medical systems, which cut across all domains.

Whole Medical Systems
Whole medical systems are built upon complete systems of theory and practice. Often, these systems have evolved apart from and earlier than the conventional medical approach used in the United States. Examples of whole medical systems that have developed in Western cultures include homeopathic medicine and naturopathic medicine. Examples of systems that have developed in non-Western cultures include traditional Chinese medicine and Ayurveda.

Mind-Body Medicine
Mind-body medicine uses a variety of techniques designed to enhance the mind's capacity to affect bodily function and symptoms. Some techniques that were considered CAM in the past have become mainstream (for example, patient support groups and cognitive-behavioral therapy). Other mind-body techniques are still considered CAM, including meditation, prayer, mental healing, and therapies that use creative outlets such as art, music, or dance.

Biologically Based Practices
Biologically based therapies in CAM use substances found in nature, such as herbs, foods, and vitamins. Some examples include dietary supplements, herbal products, and the use of other so-called natural but as yet scientifically unproven therapies (for example, using shark cartilage to treat cancer).

Manipulative and Body-Based Practices
Manipulative and body-based practices in CAM are based on manipulation and/or movement of one or more parts of the body. Some examples include chiropractic or osteopathic manipulation and massage.

Energy Medicine
Energy therapies involve the use of energy fields. They are of two types:
Biofield therapies are intended to affect energy fields that purportedly surround and penetrate the human body. The existence of such fields has not yet been scientifically proven. Some forms of energy therapy manipulate biofields by applying pressure and/or manipulating the body by placing the hands in, or through, these fields. Examples include qi gong, Reiki, and Therapeutic Touch.
Bioelectromagnetic-based therapies involve the unconventional use of electromagnetic fields, such as pulsed fields, magnetic fields, or alternating-current or direct-current fields.
What is NCCAM's role in the field of CAM?

NCCAM is the Federal Government's lead agency for scientific research on CAM. . NCCAM's mission is to explore complementary and alternative healing practices in the context of rigorous science, train CAM researchers, and disseminate authoritative information to the public and professionals.

from: everyday health

Wednesday, November 5, 2008

25 Ways to Lose Weight


By Lambeth Hochwald
Everyday ways you haven't heard of — and they work!
When it comes to losing weight, a little inspiration can go a long, long way. So we looked into the latest studies, combed the most intriguing research and interviewed real women on how they shed extra pounds to come up with 25 winning weight-loss tips that are well worth trying.
Remember to always check with your doctor before beginning any diet or exercise program.

1. Put the kettle on. Drinking green tea (which is also known for its powerful cancer-fighting compounds) may help you burn more calories by inducing slight changes in metabolism, according to researchers at Baylor College of Medicine in Houston.

2. Choose cereal. Eating cold cereal with skim milk for breakfast and as a replacement for lunch or dinner can help jump-start your diet, according to a Purdue University study released last fall. The men and women in the study, who all ate Special K, lost an average of six pounds in two weeks.

3. Consider peanut butter. Foods rich in monounsaturated fats (including nuts, peanut butter, olive and canola oils and avocados) can help you lose weight, according to a study conducted at Boston's Brigham and Women's Hospital. Researchers studied 101 overweight people who were divided into two groups. One group was put on a lowfat diet that got about 20 percent of its calories from fat; the other followed a diet that got 35 percent of its calories from fat, mostly the monounsaturated kind. While both groups of women lost an average of 11 pounds in the first year, only those on the so-called "peanut butter" diet were able to keep the weight off for 18 months or longer.

4. Keep sipping. Experts say you should drink enough water to equal half of your body weight in ounces. If you weigh 160 pounds, aim to drink 80 ounces a day. One way to keep tabs: Drink fluids with each meal and keep a water bottle with you at other times so you remember to drink, suggests Kimberly Glenn, M.S., R.D., L.D., a registered dietitian at Northside Hospital in Atlanta. Drinking adequate water will help keep you from mistaking thirst for hunger, which is a common pitfall.

5. Prioritize your workouts. "Once I put my workouts in my datebook, I found myself getting to the gym and enjoying my time there," says Pam Silvestri, 37, a public affairs manager in Dallas, who lost 15 pounds last year. "I consider my workouts just as important as any other business meeting."

6. Pump up the volume. Foods with high water or fiber content tend to fill you up faster, according to researchers at Penn State University. The idea here is that you'll eat less of (and it'll take longer to eat) a spinach omelet versus a plate of scrambled eggs.

7. Reach for dairy. Lowfat dairy products can be among the best weight-loss staples, according to researchers at Purdue University who studied a group of women for two years. Those who met the recommended dietary intake (RDI) for calcium (1,000 mg) and ate less than 1,900 calories a day lost an average of six pounds, while women who consumed the same amount of calories but less calcium actually ended up gaining weight. Researchers speculate that calcium may help promote the breakdown of the body's fat stores.