Archives

QUOTE FOR THE WEEKEND:

“If you have norovirus, don’t prepare food for at least two to three days after you feel better. Try not to eat food that has been prepared by someone else who is sick.”

WEB MD.

Can Tight Pants, Tight Ties, Tight Girdles/Pelvic Clothing Be Responsible for Several Apparel-Related Illnesses?

fat image1  fat image 2  fat image 3

The answer is yes.

If you have a body you’re proud of, thanks to hours of lifting weights and watching your diet, you may on occasion show it off by wearing something form fitting, but make sure it’s not TOO constrictive. As a recent news story showed, wearing tight clothing, in this case, “skinny jeans” could land you in the hospital.

Are Your Skinny Jeans TOO Tight?

Recently, a woman donned a pair of skinny jeans to help her friend move to a new apartment. While milling around her friend’s old apartment, she squatted down time after time to pick items up with the skinny jeans hugging her legs. By the end of the day, she could no longer feel her legs because of leg swelling and nerve compression, and fell while walking through a park. When she couldn’t get up, she had to crawl to the side of the road and hail a passing taxi to transport her to the hospital.

Sadly, she went on to spend four days in the hospital getting treatment to repair the damage the form-fitting jeans did to her muscles, nerves, and blood vessels. The swelling in her legs was so pronounced that medical personnel had to cut her skinny jeans off. Lab studies showed she had abnormally high levels of creatine kinase, an enzyme that rises when muscles are damaged.

The diagnosis was rhabdomyolysis and compartment syndrome – a condition marked by the build-up of pressure within a muscle.  When muscles swell inside a space that’s too tight, it can quickly damage tissues by blocking the blood supply they need for survival. Muscles are surrounded by fascia, connective tissue that doesn’t stretch or expand easily. So when pressure builds up, it can’t be easily released. People sometimes develop compartment syndrome when they have an arm or leg in a tight cast and less commonly from wearing clothing that’s too tight. Some people are more prone to developing compartment syndrome because their fascia is overly rigid.

Can Wearing Tight Clothing Cause Nerve Damage?

Compartment syndrome from wearing tight clothing is rare, but what isn’t so rare is a condition called meralgia paresthetica, another health problem caused by, among other things, wearing tight pants. With meralgia paresthetica, the lateral femoral cutaneous nerve that supplies sensation to the outer aspect of the thigh is compressed by constrictive clothing, usually a pair of tight pants. Pregnancy, having diabetes, and being overweight are also risk factors for this condition. Fortunately, damage to the nerve usually isn’t permanent, although surgery may occasionally be needed.

If you wear a compression garment or shapewear that makes your tummy and hips look slimmer for a night out on the town, you’re at higher risk for meralgia paresthetica. Better to tone up those areas through exercise than wear something overly constrictive to push in your hips or tummy.

 Can Tight Clothing Cause Spinal Problems?

Ask a chiropractor and they’ll tell you not to wear clothing that limits movement of your hips and core. Why? Doing so tightens the muscles that support your spine and throws off your postural alignment. A study published in Applied Ergonomics showed wearing tight pants restricts movement of the lower hips and trunk. As a result, the lumbar spine has to work harder to compensate. It’s always risky to limit movement of one part of the kinetic chain since another part has to take up the slack.

It’s not just tight pants that are a problem but tube and pencil skirts that force you to take short steps and place greater stress on your joints. Combine a tube skirt with high heels and you make the problem even worse by throwing off your center of gravity. Your risk of injury is higher too when you slip into a tight tube or pencil skirt. Ever tried to squat down or bend over to pick something up in a narrow skirt? It’s not easy – or safe.

Don’t forget – you may not feel the impact wearing tight clothing has on you right away, unless you develop an acute injury. Think of the risk as being cumulative over time. Keep in mind that anything that alters your natural gait and stride can create back and spine problems over time.

 Digestive Issues and Yeast Infections

Wearing tight clothing around your waist or abdomen increases the pressure inside your abdomen cavity. This pressure pushes up on your diaphragm and can trigger or worsen acid reflux symptoms. So, if you have heartburn, indigestion or bloating after a meal, check to see if your pants are too tight, and if you have on tight clothing, watch how much you eat! Clothing with tight waistbands and belts that constrict your waist or tummy are common culprits as are compression garments like Spanx.

Finally, tight clothing that reduces air flow to your “private parts” place you at greater risk for vaginal yeast infections. When you walk around in tight pants, moisture builds up in your crotch area and serves as a breeding ground for Candida, the fungi that cause yeast infections.

The Bottom Line

Not only is constrictive clothing uncomfortable, it may be hazardous to your health. If you wear something tight, keep it on for the least amount of time possible. Just as you save your stilettos for a special occasion, treat tight clothing the same way. It’s not comfy nor is it healthy. Wearing pants that are tight around the calves is especially risky when it’s warm outside and you’re standing or sitting a lot. The warm weather and standing can cause leg swelling and with tight pants on, your calves can only expand so much, leading to a build-up of pressure.

The take-home message? Be fashionable but sensible about what you put on.

Some clothing-related maladies go by mundane-sounding names that hardly hint at their potential to sicken. For example, a middle-aged or older man whose belly hangs below the waist of his pants may suffer from “tight pants syndrome,” a term coined in a 1993 article by Dr. Octavio Bessa, an internist in Stamford, Conn.

Bessa described a collection of gastrointestinal symptoms including abdominal pain, heartburn and reflux a few hours after meals that he would see in 20 to 25 men every year. The common thread: All wore ill-fitting pants with waistbands several inches smaller than their bellies, Bessa reported in the Archives of Internal Medicine.

Three years later, two diagnostic imaging specialists from Wales described a “sporting variant” of tight-pants syndrome that they linked to tight Neoprene bike shorts worn to prevent muscular injury. Drs. Charles G.F. Robinson and Nigel Jowett recounted how the shorts blocked venous blood flow in the legs of a 25-year-old man after his workout on a stationary bike. The doctors determined he’d suffered deep venous thrombosis (DVT), clotting probably exacerbated by a hip fracture four years earlier.

Despite treatment with blood thinners, the patient later developed a dangerous pulmonary embolism, indicating a clot had traveled to his lungs.

                                                                                                                                                                                                              Pants that are too snug can lead to certain health issues, research suggests. Meaning you can be fit not just overweight.

Women suffer their own tight-pants agonies, too. A gynecological variation can foster yeast infections, pelvic pain, itching and irritations easily mistaken for a sexually transmitted disease. The solution? Looser, cotton clothing.

The way a woman wears her slacks might leave her prone to the breakdown of fatty tissue at the outside of the thighs, called lipoatrophia semicircularis, dermatologists say. “Persistent mechanical pressure” exerted by “strangling folds” of too-tight trousers can impair circulation and set the stage for this condition, especially in women who sit for long periods, according to a study from Chile’s Universidad Andres Bello in the June 2007 Journal of Dermatology.

Wearing tight neckties and shirts with constricting collars can impede blood flow through neck veins and arteries and may affect vision. In a 2003 study of 40 men, half with glaucoma, three minutes with a tightened tie raised eye pressure among the majority of those with and without the disease. Elevated eye pressure is a key element of diagnosing and monitoring glaucoma, a leading cause of blindness.

The lead researcher, Dr. Robert Ritch, a glaucoma specialist at New York Eye and Ear Infirmary, maintained in the study in the British Journal of Ophthalmology that the transient rise in pressure readings “could affect the diagnosis and management of glaucoma.” But several prominent glaucoma specialists said the study failed to establish that transient high pressure from the tightened ties could cause glaucoma.

                                                                                                                                                                                                          Believe it or not but too-tight neckties might impede proper circulation in severe cases, research suggests.

Tight neckties also can limit neck movement and raise muscle tension in the upper back and neck, researchers at Korea’s Yonsei University reported last year in “Work: A Journal of Prevention, Assessment and Rehabilitation.” They tested 30 computer workers when wearing and not wearing tight neckties and concluded that “it is especially important for male workers to select and tie neckties appropriately” to prevent musculoskeletal injuries.

Although clothing-related pain and dysfunction can affect almost everyone, Avitzur said women have a tendency to overlook discomfort, for the sake of appearance. An admitted fashion health victim, Avitzur said she had worn ill-fitting boots and “too-heavy earrings that tore through one of my lobes.”

She got the idea for a blog about skinny jeans while at the office of the plastic surgeon who repaired the damage from her poor earring choice.

 

References:

Applied Ergonomics xxx (2013) 1e9. “Effects of restrictive clothing on lumbar range of motion and trunk muscle activity in young adult worker manual material handling”

Medical Daily. “Fashion Victim In Tight Pants Experiences Nerve And Muscle Damage: Medical Conditions Caused By Skinny Jeans” June 22, 2015.

ABC News.go.com

 

QUOTE FOR TUESDAY:

“People are often confronted with feelings of disappointment, frustration and anger as they interact with government officials, co-workers, family and even fellow commuters.”

Larry Greenemeier  (writer)http://www.scientificamerican.com/article/anger-management-self-control/

QUOTE FOR THE WEEKEND:

“TUESDAY, June 25, 2013 (MedPage Today) — A detailed history of patients with arrhythmia or syncope might need to decrease their cola intake or the origin of the honey they consume, two case studies suggest.”

Chris Kaiser, Cardiology Editor, MedPage Today

What is syncope?

       syncope2syncope

Syncope, also known as fainting, is a sudden, temporary loss of consciousness.

THE CAUSES:

Syncope is caused by a temporary decrease in the flow of blood to the brain. A large number of situations or conditions can cause this decrease in blood flow. They can include straining for a prolonged period of time, common mild illnesses like as simple as the cold or flu or sinusitis, standing up too quickly allowing the blood to drop from the brain in decreasing blood supply to that area, emotionally stressed, heart disease, standing rigidly for a long time, arrhythmias (abnormal heart beats = irregular heartbeats), pain, fright, drugs and alcohol.

Certain heart conditions can cause syncope. They include heart attacks, certain arrhythmia (like atrial fibrillation), hypertropic cardiomyopathy (A disease that involves thickening of the heart muscle which is greatest in size on the L side of the heart since that side of the heart has to pump blood to the feet up to the head and back to the right side of the heart; the Rt. side of the heart only pumps blood from the Rt side of the heart to lungs and back to the L side of the heart with oxygenated blood.) Other conditions causing syncope can be disorders of the heart valves, or heart blocks (a problem with the heart’s electrical system blocked due to the conduction system not going completely from the top to the bottom of the heart which can be slight (1st degree heart block to moderate=2 types of 2nd degree heart block to completely being 3rd degree heart block).

 

 

DIAGNOSIS:

Like any other condition in determining the cause we have to use diagnostic tools through certain tests to figure out the actual etiology of the syncope or any symptoms you’re experiencing.

The doctor will start with a thorough physical exam and review of your medical history with significant changes from your last physical or visit with the doctor. The doctor may recommend certain diagnostic tests to determine the cause of your fainting episodes. These tests could include: X-rays, use of a Holter monitor (a device that you wear during the day that records the electrical activity over a period of time), or other diagnostic or imaging testing procedures.

Our doctor might recommend a “tilt-table test”. This test involves a special table that tilts upright. Sometimes, medications are given during the test to help with the diagnosis. Your doctor may order a Stress Test where you walk to run on a treadmill with or without IV contrast to determine if this is possible cardiac situation and if it is than the doctor would further order other cardiac testing from Echocardiogram (soundwaves checking the heart) to microsurgery possibly like an angiogram (cardiac cath)=microsurgery if the situation was a blockage in an artery that needed to be declogged than a angioplasty would be performed if you were a candidate for this procedure, which a cardiologist would decide.

PREVENTION OF THIS PROBLEM:

If this was to prevent cardiac conditions from occurring to stop the syncope from occurring live a life with a healthy diet, balancing exercise and rest and if overweight start a program with both diet and exercise involved. To do it right first go to a cardiologist, if obese or overweight, to do it safe and correctly.

Already with some type of cardiac problem than be compliant in what your cardiologist provides you in your individual plan of care in treating this condition to prevent it worsening or causing other problems as well.

TREATMENT:

Treatment depends on the cause of the fainting spells. If the problems are related to medications the doctor may have to change the dosage or the type of medication. Medications are generally not required to treat syncope, but they might be required to treat the cause of syncope.

Most fainting spells are not dangerous. Individuals usually regain consciousness on their own in a few minutes.

QUOTE FOR FRIDAY:

“A Japanese legend says that if you can’t sleep at night it’s because you are awake in someone else’s dream (I must be in many others dreams.).”

 

Do you have trouble sleeping?

insomnia_from_hell_by_winered_angel-d3g0ztx

 

Insomnia is a sleeping disorder that is characterized by difficulty falling and/or staying asleep. People with Insomnia have one or more of the following symptoms:

  • Difficulty falling asleep
  • Waking up often during the night and having trouble going back to sleep
  • Waking up too early in the morning
  • Feeling tired upon waking
  • There are noted to be 2 types: Primary and Secondary
  • Primary insomnia: Primary insomnia means that a person is having sleep problems that are not directly associated with any other health condition or problem.
  • Secondary insomnia: Secondary insomnia means that a person is having sleep problems because of something else, such as a health condition (like asthma, depression, arthritis, cancer or heartburn). Other conditions could be pain, medication they are taking or a substance they are using (like alcohol).Acu
  • Causes of acute insomnia can include:
  • Insomnia also varies in how long it lasts and how often it occurs. It can be short-term (acute insomnia) or can last a long time (chronic insomnia). It can also come and go, with periods of time when a person has no sleep problems. Acute insomnia can last from one night to a few weeks. Insomnia is called chronic when a person has insomnia at least three nights a week for a month or longer.                                                                                                                                                                                                                             Significant life stress (job loss or change, death of a loved one, divorce, moving)
  • Illness
  • Emotional or physical discomfort
  • Environmental factors like noise, light, or extreme temperatures (hot or cold) that interfere with sleep
  • Some medications (for example those used to treat colds, allergies, depression, high blood pressure and asthma) which may interfere with sleep
  • Interferences in normal sleep schedule ( jet lag or switching from a day to night shift, for example)
  • Causes of chronic insomnia include:
  • Depression and/or anxiety
  • Chronic stress
  • Pain or discomfort at night
  • Symptoms of insomnia can include:
  • Sleepiness during the day
  • General tiredness
  • Irritability
  • Problems with concentration or memory

 

  • How Insomnia can be diagnosed: If you think you have insomnia, talk to your health care provider or a doctor who majors in Insomnia. An evaluation may include a physical, a medical history, and a sleep history. You may be asked to keep a sleep diary for a week or two, keeping track of your sleep patterns and how you feel during the day. Your health care provider may want to interview your bed partner about the quantity and quality of your sleep. In some cases, you may be referred to a sleep center for special tests.

 

  • Treatment of InsomniaYou should seek help if your insomnia has become a pattern, or if you often feel fatigued or unrefreshed during the day and it interferes with your daily life. Many people have brief periods of difficulty sleeping (for example, a few days after starting a new job), but if insomnia lasts longer or has become a regular occurrence, you should ask for help.If you don’t feel satisfied after your conversation with your primary care physician, ask for a referral to a doctor who specializes in sleep medicine or consult other available resources. It’s important to find a doctor who has the proper knowledge and training to treat your insomnia.
  • Non-Medical (Cognitive & Behavioral) Treatments for InsomniaSome of these techniques can be self-taught, while for others it’s better to enlist the help of a therapist or sleep specialist. Stimulus control helps to build an association between the bedroom and sleep by limiting the type of activities allowed in the bedroom. An example of stimulus control is going to bed only when you are sleepy, and getting out of bed if you’ve been awake for 20 minutes or more. This helps to break an unhealthy association between the bedroom and wakefulness. Sleep restriction involves a strict schedule of bedtimes and wake times and limits time in bed to only when a person is sleeping.
  • Medical Treatments for InsomniaDetermining which medication may be right for you depends on your insomnia symptoms and many different health factors. This is why it’s important to consult with a doctor before taking a sleep aid.Alternative Medicine
  • There are alternative medicines that may help certain people sleep. It’s important to know that these products are not required to pass through the same safety tests as medications, so their side effects and effectiveness are not as well understood.
  • Major classes of prescription insomnia medications include benzodiazepine hypnotics, non-benzodiazepine hypnotics, and melatonin receptor agonists.
  • There are many different types of sleep aids for insomnia, including over-the-counter (non-prescription) and prescription medications.
  • Cognitive behavioral therapy (CBT) includes behavioral changes (such as keeping a regular bedtime and wake up time, getting out of bed after being awake for 20 minutes or so, and eliminating afternoon naps) but it adds a cognitive or “thinking” component. CBT works to challenge unhealthy beliefs and fears around sleep and teach rational, positive thinking. There is a good amount of research supporting the use of CBT for insomnia. For example, in one study, patients with insomnia attended one CBT session via the internet per week for 6 weeks. After the treatment, these people had improved sleep quality.
  • Relaxation training, or progressive muscle relaxation, teaches the person to systematically tense and relax muscles in different areas of the body. This helps to calm the body and induce sleep. Other relaxation techniques that help many people sleep involve breathing exercises, mindfulness, meditation techniques, and guided imagery. Many people listen to audio recordings to guide them in learning these techniques. They can work to help you fall asleep and also return to sleep in the middle of the night.
  • There are psychological and behavioral techniques that can be helpful for treating insomnia. Relaxation training, stimulus control, sleep restriction, and cognitive behavioral therapy are some examples.
  • Many cities also have sleep centers and clinics (sometimes connected to a hospital) that offer assessments, testing, and treatment. An Internet search will help you locate the nearest center.
  • Start by calling your primary care physician or bringing up the topic of sleep at your next well visit if you have one scheduled. If your doctor is knowledgeable about sleep disorders, he or she will guide you through the next steps, which may involve an assessment and further testing, or a referral to a sleep specialist. Your doctor may also start by giving you some basic information and resources about healthy sleep habits—these behavioral tips may help certain people with insomnia—or discussing potential medical treatment options to consider. Your doctor could refer you to a psychotherapist if your sleep struggles seem connected to anxiety, depression, or a major life adjustment.