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By Jeremey DuVall From breaks to bruises to bursitis, physical therapists have a special knack for assessing the human body and helping restore it back to optimal performance. Armed with cutting edge equipment and a huge background of knowledge, PTs can help diagnose and treat many common ailments and movement disorders. But despite having a slew of cool toys (laser therapy anyone?), their most useful tool for treatment may be their hands. Read on for the need-to-know on the most popular treatment options for whatever injury might come along. More from Greatist: 33 Resistance Band Exercises You Can Do Anywhere 8 Natural Foods to Eat for Pain Relief Fitness Reborn: The Real Way to Get Back in Shape Let's Get Physical -- The Assessment The first step in the treatment process of any good physical therapist is evaluation. Expect therapists to ask detailed questions about how the injury came about, but also do some expert sleuth work (since the injured area may be a result and not the starting point of poor movement). According to Dr. Mike Reinold, a Boston-based PT and therapist for the Red Sox, therapists may be able to reduce the pain quickly, but that will only be temporary unless they address the root cause of the problem. Although patients may come to see therapists for a variety of causes, low back aches, knee pain, and overuse injuries are among the most common complaints. Following a thorough investigation, therapists will begin to lay out a treatment plan, which will commonly include passive modalities (ice, heat, laser therapy and electrical stimulation to name a few). But more often than not, manual therapy -- a term that includes many methods of restoring tissue function like massage, stretching and exercise -- is the foundation for the assessment and treatment of an injury, Reinold says. Just don't anticipate hopping (or running, swimming, or lifting) back into activity right away. According to Dr. Eugene Babenko, a physical therapist based in New York City, the average length of care for musculoskeletal (read: bone and muscle injuries) can be anywhere from four to six weeks. Putting The Pieces Together -- The Treatment Ready to get going on the road to recovery? Before heading to your local PT office blindly, Greatist consulted with Reinold and Babenko to break down the most effective treatment methods for a variety of ailments, big and small. Note: The following section covers general assessments, not meant to take the place of professional medical advice, which will vary on a case-by-case basis. Manual Therapy Best for: Any injury This hands-on approach separates physical therapists from other health practitioners. Although manual therapy may refer to many things, therapists usually employ common tactics like stretching, massage, and hands-on strengthening exercises to reeducate the body into proper movement and mechanics. "Manual therapy is a prime method to removing movement restrictions and helping patients move better," according to Reinold. He also advises that manual therapy should form the backbone of any treatment plan, not modalities like ice and electric stimulation. Ice Best for: Injuries involving inflammation and swelling Ice can be a major component of injury treatment. By constricting blood vessels after application, ice is an effective way to reduce and even prevent inflammation immediately following an injury. Cold therapy can also leave the joint more mobile and enhance manual therapy. Although it's difficult to nail down the most effective protocol, applying cold packs to inflamed areas has been shown to significantly reduce swelling in soft tissue injuries. Heat Best for: Injuries involving muscular spasms and tightness Applying heat has been shown to decrease pain and increase mobility after some injuries -- mainly those involving soft tissue like muscles, tendons and ligaments. By making the tissue more pliable, the therapist can better stretch the affected area. Note: Heat is just one tool to help the therapist be more effective, Reinold says, it shouldn't be the main focus of a treatment plan. Ultrasound Best for: Connective tissue injuries By using sound waves (undetectable to the human ear) to generate heat deep in the body, ultrasound therapy can help loosen up tissues in preparation for manual therapy or exercise. How it works: Therapists use a wand (unfortunately not the magic kind!) to apply the sound waves directly -- and safely -- to the skin. Ultrasound has also been shown to increase ligament-healing speed in our furry counterparts (read: rats), though more studies are needed to show whether the same holds true for us. Low-Level Laser Best for: Muscular or connective tissue injuries Laser therapy uses specific wavelengths of light to stimulate healing (well below the skin so you don't feel a thing). Best-case scenario: The treatment can help reduce inflammation, muscle fatigue and pain. It can also allow the therapist to move the affected joint around easier with less discomfort. Traction Best for: Disc herniation When we stand, our spine is consistently bearing our weight making recovery from back pain difficult, Reinold says. Traction involves separating vertebrae to allow more space for nerves and less compression on disc cartilage. Some research shows that traction can be effective for reducing pain and enhancing quality of life in patients with a herniated lumbar disc. And since it doesn't involve going under the knife, this can be an effective treatment option for those who can't afford a long recovery. Functional Electrical Stimulation Best for: Restoring muscular strength It's electric -- no really. Electrical stimulation, also referred to as ESTIM, is a common treatment option to restore muscular function following a traumatic injury. By applying a minor but steady electrical stimulus, therapists can cause contractions from muscles that may otherwise remain dormant. This leads to restoring proper movement and function sooner than relying on exercise alone. While ESTIM can't restore movement in every case, research shows it can speed recovery following ACL and total knee replacement surgery over the course of a few weeks. Additional research confirms the use of ESTIM as an effective treatment option to restore function in hemiplegic patients (those with one side of the body paralyzed). Exercise Best for: Any injury to stay healthy after treatment It may sound obvious, but exercise is a go-to strategy to treat and prevent pain. But these aren't just any old run of the mill exercises -- they're hand-picked to help patients move better by strengthening targeted muscles and addressing any muscular imbalances that may exist, Babenko says. Also, keep in mind that many injuries can crop up (or recur) from a sedentary and repetitive lifestyle, Reinold explains. (Think: hunching over the computer or obsessing over that Instagram feed.) By performing any sort regular exercise, those with even the most sedentary day-to-day can avoid common nagging aches and pains. Ready to get checked out? Many patients can be referred to therapy by their primary care physicians after an initial checkup. Additionally, new state-by-state direct access laws now allow those in pain to head straight to their local therapist (check your state guidelines for specifics). Have you tried any of these therapies? Got any others to add? Share them in the comments below. Disclaimer: Remember that none of this information should substitute professional medical advice. Always check with a doctor or physical therapist first once those aches and pains arise! Special thanks to Greatist Experts Dr. Mike Reinold and Dr. Eugene Babenko for their help with this article. http://www.huffingtonpost.com/2013/01/13/best-physical-therapy-methods_n_2443086.html Alternative therapies refer for the alternative medicine alternatives such handful of giant screen TVs as well as audio techniques and also voila â the fitness center is actually ready, right?
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Nevertheless many individuals don't actually entertain the concept of keeping the mind without having starving your self or even quitting your favorite comfort foods, however in reality that they rarely work. The Paleo Diet is an effort to eat like we used to back in the day…WAY back in the day. If a caveman couldn’t eat it, neither can you. This means anything we could hunt or find – meats, fish, nuts, leafy greens, regional veggies, and seeds. Sorry, the pasta, cereal, and candy will have to go! Instead, you’ll be making things like chicken stir fry and paleo spaghetti. You see, I hate counting calories. I don’t like keeping track of how much I’ve eaten or obsessing over how many grams of a particular nutrient I’ve had. Not only do I hate counting calories, but I know that calories are really only half of the battle, as they’re not all created equal – 400 calories of Doritos do NOT affect your body in the same way as 400 calories of high-quality vegetables and protein. Fortunately, if you can expand your horizons and remove certain types of food from your diet, you can stop worrying about counting calories FOREVER (sorry, the Count – ah ah ah). I’d love to suggest a particular type of eating that doesn’t require counting a single calorie AND allows you to eat until you’re no longer hungry. Oh, and it can help you lose weight, build muscle, and get in the best shape of your life. I know, that sounds like an ad for some really shady supplement or diet book that you’d see on TV at 4 AM. It’s not, it actually works. It’s helped many people achieve jaw-dropping transformations, including my friend Saint here (whose story you can read here): I’m talking about the Paleo Diet. Cue the Baltimora! So how does the Paleo Diet work? Cavemen Hunt Elephant Oh lord, another “diet.”I know, it sounds like a fad/marketing ploy, but it’s actually quite legit. You see, tens of thousands of years ago, before Nike, Cap’n Crunch, and Healthy Choice meals, our ancient ancestors thrived as hunter-gatherers. Although it’s been a really long time, our genetics haven’t changed that much since then. The average Homo Sapien back then: tall, muscular, agile, athletic, and incredibly versatile. The average Homo Sapien now: overweight, out of shape, stressed out, unhappy, sleep deprived and dying from a myriad of preventable diseases. So what the hell happened? Agriculture! A few thousand years ago humans discovered farming, the agricultural revolution took off, and we advanced from hunter-gatherers to farmers. We settled down, formed societies, and the human race progressed to what we are today. The problem is, our bodies never adjusted properly to eating all the grains that we we’re now farming. As Robb Wolf puts it, think of a 100-yard football field. The first 99.5 yards are how long Homo-Sapiens spent as hunter-gatherers. As they became REALLY good at hunting and gathering our bodies adapted to that lifestyle over thousands of years. That last half-yard represents our species after the agricultural revolution, where our diet has shifted (but our genetics haven’t). So, instead of loading up on meat, vegetables and seasonal fruits, we’ve become a species “dependent” upon grains – bread, pasta, rice, corn, and so on. The government continues to recommend 6-11 servings of grains a day, and people continue to get fatter and fatter by the day. 66% of us are overweight, 33% are considered obese, and those numbers are only getting worse. Clearly something’s not right. The Paleo Diet is an effort to go back to eating how we’re biologically designed to eat, allowing us to tap into our genetic potential and start living healthier immediately. WTF is the Paleo Diet? Cavemen Hunt Paleo Bear Back in the day, grains weren’t part of our diet. As Mark from Mark’s Daily Apple points out in his “definitive guide to grains” article: grains cause kind of a funky response in our system. Grains are composed of carbohydrates, and those carbs are turned into glucose (a type of sugar) in our system to be used for energy and various other tasks to help our body function – any glucose that isn’t used as energy is stored as fat. Rather than me explain that part with thousands of words, just watch this three-minute video – “Why You Got Fat“ Next, most grains contain gluten and lectins. What are they and what’s wrong with them? I’m so glad you asked: Gluten is a protein found in things like rye, wheat, and barley. It’s now being said that much of our population may be gluten-intolerant (hence all the new “gluten-free!” items popping up everywhere). Over time, those who are gluten intolerant can develop a dismal array of medical conditions from consuming gluten: dermatitis, joint pain, reproductive problems, acid reflux, and more. Lectins are natural toxins exist within grains to defend against consumption! Yup. Grains have evolved to keep themselves from being eaten by us. These lectins are not a fan of our gastrointestinal tract, prevent the tract from repairing itself from normal wear and tear. This can cause all kinds of damage. As Mark so eloquently puts it in his article: grains are unhealthy at best, or flat-out dangerous at worst. The Paleo Diet also almost completely eradicates sugar. Unless you’re getting your sugar from a fruit, forget it. Sugar causes an energy spike and crash in your system, turns to fat unless it’s used immediately, and wreaks all kind of havoc on our bodies. So, no grains, no sugar, no processed foods. Many studies have shown that an incredible number of diseases and lifestyle issues can be reversed with these three simple changes. Take a look at this time magazine article on cancer patients who switched to a zero-sugar diet and saw positive results. But where’s my energy? darth vader vendor lego So, if we’re not eating 300+ grams of carbs every day, where are we supposed to get our energy from? Our bodies are designed to operate on a lower amount of carbohydrates than what we’re used to eating, so less carbs isn’t an issue. When there is an absence of carbs (which is how we’re USED to operating), our body will take stored fat and burn THAT for energy in a process called ketogenesis. What I’m trying to tell you is that our bodies are pretty effin’ efficient. So, less carbs = less glucose in your system, which means your body will have to start burning fat as your fuel source. Win! So all carbs are bad? Lego cutting bread and carbs Nope. Carbs still serve a purpose in our diets, but they’re not essential (check out the Inuit Paradox for a great read on societies that exist without almost any carbohydrates). I prefer to get my carbs from vegetables, sweet potatoes, and fruit. Why is that? These foods are naturally occurring in the wild and don’t need to be processed in any way (unlike grains) in order to be consumed. The other great thing about vegetables is that you can eat as many of them as you like and you’ll never get fat. They’re incredibly nutrient dense and calorie light – six servings of broccoli (and who would eat 6 servings at once?) has 180 calories and only 36 grams of carbs. A single serving of pasta (and NOBODY eats just one serving of pasta) has 200 calories and 42 grams of carbs. What about dairy? milk truck lego Dairy’s a tough one, as most Paleo folks tend to stay away from it – a portion of the world is lactose intolerant, and those that aren’t usually have at least some type of an aversion to it. Why is that? Because no other animal in the entire kingdom drinks milk beyond infancy. Hunter-gatherers didn’t lug cows around with them while traveling – milk was consumed as a baby, and that was it. As with grains, our bodies weren’t designed for massive dairy consumption. Here’s a great read on the benefits/criticisms of dairy. Personally, I’m split on dairy, as I can drink whole milk without any sort of issue and I consider adding it back into my diet when I need to get enough calories to bulk up. So no grains, no dairy: what DO I get to eat on this diet? caveman cooking over fire lego Okay, so if we cut out the grains, almost all processed foods, and dairy, you’re left with only things that occur naturally: Meat – GRASS-FED, not grain-fed. Grain causes the same problem in animals as they do in humans. Fowl – Chicken, duck, hen, turkey…things with wings that (try to) fly. Fish – Wild fish, as mercury and other toxins can be an issue in farmed fish Eggs – Look for Omega-3 enriched eggs. Vegetables – As long as they’re not deep-fried, eat as many as you want. Oils – Olive oil, coconut oil, avocado oil – think natural. Fruits – Have natural sugar, and can be higher in calories, so limit if you’re trying to lose weight. Nuts – High in calories, so they’re good for a snack, but don’t eat bags and bags of them. Tubers – Sweet potatoes and yams. Higher in calories and carbs, so these are good for right after a workout to replenish your glycogen levels. Steak with asparagus and sweet potato fries, grilled chicken salad, massive omelets that will fill you up for the whole morning, apples dipped in almond butter (my favorite snack ever), and so on. Pick any of the things from that list, and eat as much as you want of them (with the noted exceptions). You’ll feel better and be healthier. How come I won’t get fat? Leaning Caveman Grok Because these foods are so nutritious and filling, it’s almost impossible to overeat. To get the equal number of calories from a bag of Doritos or bread (which, as you know, you can eat all day long and never really feel full), you’d have to eat 2-3 Mack trucks full of broccoli and spinach. Okay, that’s clearly an over-exaggeration, but you get the point. A GIANT plate of vegetables and a reasonable portion of meat can keep you full for hours, while eating carb-heavy foods can result in being hungry again soon after. Whenever I need to lose weight for vacation, I go 100% Paleo and I can drop a few body fat percentage points in a few weeks (while combining it with strength training and interval running). Go here : http://www.nerdfitness.com/blog/2010/10/04/the-beginners-guide-to-the-paleo-diet/ |
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