Older people newly prescribed sleeping pills like benzodiazepines and �Z-drugs� have over double the odds of a hip fracture in the first two weeks, scientists have found.
Experts have said there is a 53 per cent increase in risk for people taking the medication for more than two weeks.
Sleeping tablets are prescribed if people suffer severe insomnia or as a short term measure to ease symptoms of insomnia.
However, experts have warned of the dangers of the drugs as they can cause side effects – such as drowsiness the following morning, which can lead to falls.
Users can also become dependent on them.
NHS Choices said: �Doctors are usually reluctant to recommend sleeping tablets in the long-term because they just mask the symptoms without treating the underlying cause.�
The results come from a new study by researchers at Cardiff University and King�s College London.
�While �Z-drugs are fast becoming the doctor�s hypnotic prescription of choice, there is no evidence that they are a safer alternative to benzodiazepines in relation to hip fracture risk,� said Dr Ben Carter, Cardiff University�s School of Medicine and the Institute of Psychiatry, Psychology and Neuroscience, King�s College London.
�Our study shows that both appear to significantly increase the risk of hip fracture when newly prescribed by doctors.�
A study of people aged over 65 found that new users of these hypnotic medicines experienced nearly two and a half times the fracture rate, when compared with older people not taking hypnotics.
An estimated 53 per cent increase in fracture risk was identified in medium-term users – 15 to 30 days, as well as a 20 per cent increased risk of hip fracture in long-term users which scientists classed as greater than 30 days.
Dr Carter added: �Careful consideration of the immediate increased risk of hip fracture should inform the clinical decision-making process.
�Clinically effective measures like strength training to improve frailty, removal of hazards at home, visual correction and a medication review are also needed to mitigate the risk of hip fractures, particularly in the first few days of use.�
The research supports previous studies linking use of hypnotics by older people with an increased risk of accidents, dependence, cognitive decline and hip fracture.
The drugs are also thought to cause drowsiness, delayed reaction times and impaired balance.
The study, called Benzodiazepines, Z-drugs and the risk of hip fracture: A Systematic Review and Meta-Analysis has been published in the journal PLOS ONE.
If you suspect you have a damaged gut, what can you do to fix it? (Of course you should see your doctor and get a proper diagnosis, and talk to him about your issues.) First, remember that if your gut is damaged you probably aren’t absorbing the nutrients from your food – even if you’re eating GREAT food! Switching cold turkey to a diet of salads and raw veggies isn’t even always the answer for healing your gut. Some raw veggies are actually really hard for a damaged gut to digest.
El Paso, TX. Chiropractor Dr. Alex Jimenez adds to the discussion of chiropractic treatment vs. pain medication and medical care.
Which Is More Effective For Low Back Pain? Meds Or Chiropractic?
That is the�question in our research theme of the week.
A Practice-Based Study of Patients with Acute and Chronic Low Back Pain Attending Primary Care and Chiropractic Physicians: Two-Week to 48-Month Follow Up
This study based used a practice-based, observational model to look at the effectiveness of intervention in a selected group of patients with both acute and chronic lower back pain (LBP). It compared the efficacy of chiropractic intervention with standard medical care in both kinds of Low Back Pain.
2780 patients were enrolled in the research over a 2-year period (1994 to 1996) from the practices of 60 DCs (1855 patients) and 111 MDs (925 patients) in 51 chiropractic and 14 general practice clinics. Patient data was obtained via a survey distributed in person at the first visit, and the patients were followed up over a period of 4 years with 7 mailed surveys at regular time intervals. Mailings were sent at 2 weeks, 1 month, 3 months, 6 months, and 1 year following the original visit. In phase 2, patients were followed up at 36 24, and 48 months.
Patients were eligible if LBP was their primary grievance, and was of mechanical source; they were excluded if exploitation was contraindicated, or the back pain was of nonmechanical origin (such as from organic referred pain). Acute patients were those whose back pain was of less than 7 weeks duration; long-term back pain patients were those whose back pain was longer or of 7 weeks duration.
The physicians in the research produced an assortment of treatment procedures. Chiropractic care included physical therapy, spinal manipulation, an exercise strategy, and self-care education. Medical doctors gave care that included an exercise plan prescription drugs, and self-care advice; nearly 25% of these patients were referred for physical therapy.
The primary outcomes measured were present pain severity, and functional impairment, which were quantified by questionnaires sent to the patients in the above stated times.
The medical patients showed more severe baseline pain and disability when entering treatment, greater prevalence of pain and poorer general health status, than in patients. These differences were more conspicuous in the chronic patients than in the acute patients.
An edge was seen for DC attention in comparison with MD attention for the first 12 months in pain relief. This difference was small but was greater for those with chronic LBP during the first year of treatment.
There was an advantage with all the usage of chiropractic care in long-term patients with pain radiating below the knee, and some small advantages were also seen in the acute patient group. Differences were also seen through the first 3 months of care with no leg pain in chronic patients. There were the 2 kinds of medical care for pain radiating over the knee as well as no differences in the 2 groups.
All patient groups found clinically important improvement in pain and disability over the span of treatment. Advancement that was greater was seen by acute patients, with many obtaining near complete relief of their symptoms. Most realized symptom relief by 3 months, followed by a plateau through 12 months. It was followed by critical, clinical aggravation of pain at 12 to 24 months, with another plateau until 4 years. Little upsurge in impairment was seen between 12 and 48 months.
Of note, at 3 years into the research, 45% to 75% of patients noted at least 30 days of pain throughout the prior year, even in those who had gained significant pain and disability relief through early intervention. Daily pain was noted by 19% to 27% of chronic LBP patients throughout the preceding year.
Early intervention reduces chronic pain. People who received early intervention for acute lower back pain after the original injury, reported fewer days of back pain than those who waited more for intervention. Since outcomes were better than in those who delayed treatment this would support providing early intervention for patients with acute back pain.
Chiropractic is valuable for certain types of pain. Chiropractic care�was shown to be�more effective�than standard medical care in certain situations: with pain radiating below the knee in patients with persistent lower back pain, as well as for treating LBP during the first 12 months. Nearly all the relief was sustained throughout the initial year, and was obtained during the first 3 months of treatment.
This study reports pain and disability results up to 4 years for chiropractic and medical patients with low back pain (LBP) and evaluates the impact of physician kind and pain length on clinical outcomes.
Conclusion
Study findings were consistent with systematic reviews of the efficacy of spinal manipulation (the Chiropractic adjustment) for pain and disability in severe and chronic LBP. Interdisciplinary referral and patient selection needs to be prime concerns by policymakers, physicians, and third-party payers in identifying health services.
You know you’re supposed to replenish your electrolytes after a killer sweat session, with sips like coconut water and sports drinks. But what are�electrolytes,�exactly? And why do our bodies need them?
This�new�video from�the American Chemical Society breaks down the science behind the�crucial salts (yep, they’re salts). In a nutshell: Once electrolytes (think calcium, potassium, magnesium, and plain old table salt) are in our bodies, they dissolve into�positive and negative charges. These charges have two main functions: Regulating the flow of water in and out of cells, and sparking�nerve impulses.
Without electrolytes, “our cells would�shrivel up�and die, or burst from being too full,” the clip’s narrator explains. And those nerve impulses electrolytes control? They keep our bodies functioning properly�you know, “our hearts beating, our lungs breathing, and our brains learning.”�So there’s that.
When you work out, electrolytes get deposited�into sweat glands. Water follows the electrolytes (thanks, osmosis), and as the glands fill�up, they release the salty mix onto your skin.
The water then evaporates,�which makes you feel cooler�and you’re left with that salty taste on your skin (don’t act like you don’t know what we mean).
As for why fitness instructors are always reminding�you to drink up after class, it’s because losing too many electrolytes can mess with your blood pressure, breathing, and more.
All this talk about the mega-importance of electrolytes�might having you craving a Gatorade. But here’s the thing: Unless you’re a pro athlete, you’re probably getting a sufficient amount of electrolytes through your regular diet�no neon-colored beverages�necessary.
And who needs the sugar in most sports drinks? As the narrator points out, “if you�re doing a half-hour of cardio, a single bottle of the stuff will give you all the calories you just worked off.”
The flick’s take-away advice: Stick with water to hydrate, and save the sports drinks for your next marathon.
Chiropractic is a treatment method that has moved from more of an alternative treatment to widespread mainstream acceptance over the past few decades. There will always be pockets of naysayers that question its validity, but the millions of satisfied patients around the world speak volumes about the effectiveness of chiropractic treatment on the human body. There are literally dozens of health issues that benefit from chiropractic adjustments, but here are 3 common conditions that El Paso chiropractors help:
1) Headaches
We all get headaches from time to time. Some are mild, some are more severe, but all of them have the potential to disrupt your day. Whether it is a tension headache caused by hours of sitting at a desk or a migraine brought on by a specific health condition, when the pain starts it is difficult to focus on anything else.
El Paso chiropractors help relieve headache pain on a regular basis. A lot of the time the pain you feel in your head is actually being caused by misalignment of the vertebrae in your spine. After a gentle adjustment and proper maintenance, many patients report no more pain and no more need for pain medication.
2) Shoulder Pain
Shoulder pain is a problem that far too many people deal with.� Pain in the shoulder can be referred pain from the spinal misalignments, or it can be caused by a misalignment in the shoulder.
No matter what specific type of shoulder pain you have, El Paso chiropractors help relieve both the pain and any range of motion issues that are present. Our team will help to access your condition and give you the best advice we can on what you can do to remedy the situation.
3) Lower Back Pain
If headaches and shoulder pain are among the most common conditions for the general public then lower back pain is probably at the head of the pack. One of the most common reasons for lumbar pain is from misaligned spinal segments.
Chiropractors can help the pain and reduced mobility associated with lumbar strains and sprains and help patients get back to their normal routines. Even if you�ve had lower back pain for years and have been told there is nothing that will help, it�s always worth the time explore your possibilities.
Please don’t hesitate to call our team with any questions you might have.� Today is a great day to get started on a new path to health.
El Paso, TX. Chiropractor Dr. Alex Jimenez looks at sleep posture for back pain.
Whether you got back, neck, or pregnancy pain, your slumber posture makes a big difference in the way you feel each morning.
Great posture is a key to a healthier spine, but posture isn�t just about sitting or standing straight. Your sleep bearing has a significant effect on neck and your back. While some postures allow you to feel refreshed morning, come, others can leave you stiff, sore, and in pain.
Believe neutral, as it pertains to locating the very best sleep pose to your back and neck. Postures that put your spine in a neutral, or direct, alignment place the smallest amount of pressure on your own back and neck. Learn which postures set your back in a neutral state and those who must be prevented below.
The Very Best Sleep Posture For The Back: On Your Own Back
Sleeping in your back is for putting your spine in a neutral alignment, the very best, but only 8% of people sleep in this pose.
A few strategically placed pillows can boost the advantages of back sleep. A little pillow underneath your head and neck (but not your shoulders) will help to keep your back straight. Including a pillow under your knees will provide comfort and much more support, as it encourages your back to preserve its natural curve.
It’s a few drawbacks, though back sleeping is the best on your spine:
It�s not best for individuals with sleep apnea. Back sleeping may create the tongue to obstruct the breathing tube, so those with sleep apnea must not sleep on their backs. Instead, they ought to sleep on their side with legs right.
It�s not best for snorers. Back sleeping can worsen snoring. People who snore should sleep on their side with legs right.
It’s not best for women that are pregnant. Pregnant women who sleep on their backs danger growing a multitude of health issues, from back pain to low blood pressure. Plus, the on-the-back position decreases blood flow to the baby and also the heart. The very best sleep position during pregnancy is sleeping on the side with legs bent.
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The Next Best Choice: On Your Side With Legs�Straight
For those that snore or have sleep apnea�or in the event you just discover sleeping on your back uncomfortable�side sleeping with your torso and legs is a fantastic choice. That is the perfect sleeping pose for people and snorers with sleep apnea because it keeps your airways open. Adding a tiny pillow between your legs will also help in keeping your back neutral.
In Third: On Your Side With Legs Bent Upwards
Sleeping on your side together with your legs bent upwards�also generally known as the fetal position�is the most typical sleep pose (41% of adults sleep this manner). This posture keeps your neck and upper back, though it�s a popular alternative. The fetal position also promotes an uneven distribution of weight, which can cause tender joints and back pain. You can help reduce your odds of waking up by pulling your knees and maintaining your turning angle up as high as they can go.
While this is the third-best slumber pose for most, sleeping on your side with bent legs is the best sleeping position for women that are pregnant. It supplies the most comfort and safety for a growing abdomen, and sleeping on the left side adds the additional benefits of boosting blood and nutrients to the baby. For additional support, pregnant women may put in a pillow between their bent legs and knees.
The One Sleep Position Everyone Should�Avoid
No matter the sort of pain you might have, whether it�s neck, low back, joint, or related to pregnancy, sleeping on your stomach just isn’t recommended. This posture places the most pressure on joints and your back�s muscles as it flattens the natural curve of your back. Sleeping on your stomach also compels you to turn your neck, which may cause neck and upper back pain.
Getting the sleep you need is much more important while stomach sleeping is better prevented. You are able to calm some pressure off your back by placing a pillow under your pelvis and lower abdomen, and another pillow under your head if stomach sleeping is the sole way you can snooze soundly. In the event the pillow under your head causes pain, remove.
Still Feeling Sleepy?
You struggling to get a great night�s rest, although when you yourself have sleep bearing that is healthful, factors outside your sleep position may be the offender. As an example, environmental disruptions (for example bright lights in your bedroom) or dietary customs (like eating a substantial meal before bed) could be interfering together with your slumber. Learn about some common sleep burglars and how you can combat them in Sensible Sleep Advice to get a Wholesome Spine.
The Miners are westbound for the second time during the outdoor season as they head to Berkley, Calif. for the Brutus Hamilton Challenge. This will be the final competition the Miners will see before the Conference USA Outdoor Championships hosted by UTEP (May11-14).
The historic two-day meet starts Friday9:00 a.m. PT with the men�s hammer throw. Sophomore Karol Koncos will be one of the top competitors in the field. Koncos threw for 63.43m (208-1) last week at the UTEP Invitational. His mark is the third-best his season in C-USA.
Senior Fayon Gonzales and junior Lucia Mokrasova will compete in the women�s javelin set for 5:30 p.m.Gonzales (39.37m) ranks ninth in the league, while Mokrasova holds the number eight spot (39.94m).
The running events will see Daniel Cheruiyot in the 3,000m steeplechase starting at 3:30 p.m. Cheruiyot clocked the fourth-fastest time in conference running a season-best 9:03.31. Antony Kosgei and Evans Kiprono will run at 4:10 p.m. in the 5,000m. Kosgei (14:16.60) ranks fifth in the league.
Gladys Jerotich and Winny Koech will tussle in the women�s 5,000m starting at 3:45 p.m. Koech (16:22.26) ranks first in C-USA.
Saturday�s events will start with the women�s long jump at 10:00 a.m. Tobi Amusan will make her first jump of the outdoor season. Senior Samantha Hall will compete in both the shot put (10:45 a.m.) and discus throw (12:30 p.m.). Hall ranks 12th in the NCAA West Region (54.62m) in the discus throw.
Runners to look out for on the track will be UTEP�s freshman duo Emmanuel Korir and Michael Saruni in the men�s 800m starting at 3:10 p.m. The Kenyan natives have both started their collegiate careers off with a bang.
Korir won the 800m indoor national title and ranks second in the west region. The Kenyan has clocked a blistering 44.67 in the 400m ranking second in the West Region.
Saruni ranks first in the West Region in the 800m after stopping the clock at 1:45.82 winning gold at the Texas Relays. The mid-distance runner ranks ninth in the 400m clocking 45.69 in the 400m in the West Region.
Brandon Moss will compete in the men�s long jump at 11:45 a.m., where he ranks ninth in the league after jumping out to 7.20m (23-7.5) in his first outdoor competition at last week�s UTEP Invitational.
Ada Benjamin will race at 2:05 p.m. in the 400m. Benjamin ranks first in conference with a time of 53.16. Florence Uwakwe will take the track at 2:25 p.m. in the 100m. Uwakwe will race her first short sprint of the outdoor season.
Lilian Koech and Truphena Sum will run in the 800m set for a 3:00 p.m. Koech ranks third in the league with a personal-best 2:05.86.
For live updates and breaking news follow @UTEPTrack on Twitter and uteptrack on Instagram.
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