Monday, February 15, 2016

9 Stretches to Deal with Joint Pains

THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOUR PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.

FOR INFO ABOUT KNEE REPLACEMENT, YOU CAN VIEW MY BLOG
HTTP://KNEE REPLACEMENT-STICK CLUB.BLOGSPOT.COM/

FOR CROCHET DESIGNS- http://My Crochet Creations.blogspot.com/



Joints are where our bones connect. They provide physical support and provide our body with a range of motions. Any damage to the joints, incurred through force or infection, may hinder our ability to move, and cause pain. Joint pains are quite common; with about a third of the population suffering from joint aches and pains. The knees, shoulders, and thighs tend to be the most problematic. The older we get, the more likely it is that we’ll suffer from joint pains.
What are Joint Pains?
Joint pains can be weak or strong, and can be acute - lasting from one to two weeks, or chronic – lasting for several months. Whether it’s a strong pain or a weak one, it lowers our quality of life and must be treated. Treatment can be done by taking medication, through alternative medicine, or by performing simple, daily exercises.
By exercising the muscles around the joints, you can strengthen them, thus improving your control over those joints. This will also help reduce joint-related pains.
Knee Pain
Knee pain is especially noticeable when going up a flight of stairs. In severe joint pains, even walking becomes a painful experience.
Pillow Squeeze
This exercise will help you strengthen your inner thighs and improve the support on the knees.
  • Lie on your back, with your knees bent.
  • Put a pillow between your knees.
  • Squeeze the pillow with both knees for 5 seconds and release.
  • Perform two sets of ten repetitions.
  • If the exercise is too difficult, start by doing it while sitting on a chair.
Joint Stretches

Pillow Squeeze
From Sitting to Standing
This exercise will help you transition between sitting and standing, making it easier to straighten your knees.
  • Place two pillows on a chair and sit on them. Maintain an upright posture with both feet flat on the floor.
  • Use your leg muscles to slowly and smoothly stand up.
  • Slowly sit back down.
  • Pay attention that your knees do not move forward and pass your toe line.
  • Try doing this with your hands crossed against your chest and when they’re hanging at your sides.
  • If the exercise is too difficult, add a pillow or two, or use a chair with armrests to use as leverage.

Joint Stretches

From Sitting to Standing
Thigh Joint Pain
The largest joint in the human body, the thigh joint, supports most of the body weight and is a key component in maintaining one’s balance. Since these joints are critical for walking, any pain in the area can debilitate a person. Chronic pains in this region become more common with age.
Bridge Exercise
The bridge is a simple exercise you can perform every morning, which loosens the thigh joint. This makes it easier to move your joints throughout the day.
  • Lay down on the floor with your back down and your legs bent. Your feet must be pressed against the floor.
  • Lift your pelvis by pushing with your ankles. Keep your stomach muscles hard and your knees in line with your ankles. Your body should be in a straight line from your shoulders to your feet.
  • Stay in this position for 3-5 seconds, and then lower your pelvis back to the floor slowly.
  • Repeat ten times.

Joint Stretches
Classic Leg Lift
If you have pain on one side, lay down on the opposite side. This can be done on the carpet or on a yoga mat.
  • Raise the sore leg 6 inches (15cm) from the floor. Hold it in the air for 2-3 seconds
  • Slowly lower your leg back down to the floor.
  • Perform 10 repetitions. If possible, do the same for the other leg, but if you’re in too much pain – stop.
Joint Stretches

Classic Leg Lift
Shoulder Joint Pain
Another common joint pain is shoulder pain, which is most common in people who perform repetitive movements with their shoulders, or those who spend long hours at a desk, in front of a computer.
Shoulder Stretches
You will need a fitness elastic band for this exercise. This type of exercise is a great way to strengthen your shoulder muscles, as well as improve their elasticity and range of motion.
  • Secure the band to an object at waist-height.
  • Grasp the band and stand with your back to the securing object. Take a step forward so that the band is stretched a little.
  • Keep your arm straight and lift it upwards until it is parallel to the floor. Pay attention not to lift your shoulder.
  • Keep your arm in that position for a second, and then slowly lower it back to the starting position.
  • Perform 15 repetitions.
It is recommended that you perform this exercise in different variations and in different directions, as shown in the images below.
Joint Stretches

 
Joint Stretches

Shoulder Stretches
Wrist Pain
Wrist pain can be caused by inflammation or repetitive actions such as typing on a computer, or even using kitchen utensils. These pains can appear as weakness in the palm, making it difficult to perform everyday tasks, like opening a jar.
Fist Stretch
Do these exercises whenever your palm feels weak, sore, or stiff.
  • Open your palm and stretch your fingers outwards.
  • Close your fists and stay in this position for a few seconds.
  • Straighten and stretch your fingers again.
  • Perform several repetitions a few times a day.
Joint Stretches

Fist Stretch
Stretching Your Fingers
  • Reach out with your right hand, palm facing down.
  • Use your other hand to slowly pull the 5 fingers in that hand, back.
  • Try and provide resistance with your other hand. Make sure to stop if you reach a point where it hurts.
  • Perform 10 repetitions for each hand.
Elbow Pain
The elbow plays a vital role in the arm’s movement. Repetitive motions that can lead to pain in the elbow could be playing tennis, washing windows, or even working with a screwdriver. These stretches should be performed 3 times a day, assuming they don’t hurt, or add to existing pain.
Stretch and Straighten
  • Stand straight with your arms at the sides of your body.
  • Bend your hands towards your chest, so that only the forearm moves.
  • Perform 10-20 repetitions. Stop if it starts hurting.
Joint Stretches
Stretch & Straighten
Forearm Twist
  • Keep your hands tight against your body.
  • Bend your forearms and keep them at a 90-degree angle.
  • Twist your wrists to face up, then down again.
  • Perform 10-20 repetitions for each hand. Stop if it starts hurting.
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Thursday, February 04, 2016

The Zika virus disease and India: Health guidelines and facts you should know

THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOUR PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.

FOR INFO ABOUT KNEE REPLACEMENT, YOU CAN VIEW MY BLOG
HTTP://KNEE REPLACEMENT-STICK CLUB.BLOGSPOT.COM/

FOR CROCHET DESIGNS- http://My Crochet Creations.blogspot.com/


 As the first case of the Zika virus was confirmed in the US, other countries, including India, raised an alert to guard against the spread of the mosquito-born virus. A day after the World Health Organisation (WHO) declared emergency over the “explosive” spread of the virus, the Indian health ministry issued detailed guidelines for combating the disease.

India needs to be particularly conscious about the spread of the disease since the mosquito that carries the virus actually thrives in the country. The Aedes Aegypti mosquito whose bite transmits the disease is the same as the one that transmits dengue and chikungunya, which is widely prevalent in India.


According to the health ministry guidelines document, “Zika virus disease has the potential for further international spread given the wide geographical distribution of the mosquito vector.” Though India has thus far not reported any case, given the large number of people suffering from dengue, Indians have to take extra care to protect themselves. Symptoms of the Zika virus disease include mild fever, headache, skin rash, muscle and joint pain, malaise, conjunctivitis; and may last for two to seven days.

Also, the mosquito behind the Zika virus seems to operate like a heat-driven missile of disease. Scientists say the hotter it gets, the better the mosquito that carries Zika virus is at transmitting a variety of dangerous illnesses. And, with the temperature rising across India, it becomes more important to take precautions and not let the Aedes Aegypti mosquito breed.

Though caution is advised, Indians need not panic. “Zika is not life-threatening like dengue and chikungunya, and it is a self-remitting disease, so — at this point — there is nothing to panic about,” says Dr Shelly Singh, senior consultant, Obstetrics and Gynaecology, Primus Hospital, Delhi.

Dr Singh admits that going by the number of dengue cases in India, there is cause for concern, because one of the problems with figuring out whether the disease exists in India is that the symptoms in a person infected by Zika are the same as those generated by dengue. “But since the virus is not indigenous to India, being careful of the vector and taking the same precautions as you would against dengue should help keep the disease at bay,” says Dr Singh. For those who travel extensively and are worried, she advises getting a basic blood test done, with special focus on IgM antibodies. An increased number of IgM antibodies may be indicative of the presence of the Zika virus.

The most important point is to avoid travelling to affected areas such as Latin American countries like Brazil, and the Caribbean, especially pregnant women and women who are planning a child. Dr Brian Levine, a New York City fertility doctor, “spent the majority of the last week counselling patients about (the) Zika virus. I’ve had to have discussions about cancelling babymoons, cancelling trips before starting in vitro fertilisation and even having husbands provide a frozen semen sample because they plan on travelling to a Zika-affected region for work.”

Also, there is a sexual means of transmitting the virus too as it lives in the semen for a long time, so it’s important to know if your partner has been to any Zika-affected region in the recent past, advises Dr Singh. As reports confirm the Texas, US, case to be transferred sexually, it becomes all the more crucial to make sure sexual partners who have visited those regions get themselves checked.

Thus far, there is no vaccine for the virus. But since it is a self-remitting disease, a person can be hopeful of being cured within a week or two, and the treatment is usually symptomatic. With respect to the concern about microcephaly — a condition in which a baby is born with an abnormally small head and brain — that has been linked to the Zika virus in Brazil (this is because there has been a 20-fold increase in microcephaly in newborns in Brazil possibly pointing to a causal relationship with the Zika virus), Dr Singh says that the tricky period is the the one between first and second trimesters for the virus to affect the unborn child and lead to microcephaly. “It’s also important to know that being infected with the Zika virus does not mean the newborn WILL have microcephaly, and neither does once having the Zika virus disease mean that future pregnancies would be affected.”

Here’s a list of the guidelines issued by the health ministry and doctors that you should keep with you:

1. Prevent mosquito breeding around houses.
2. Use mosquito repellents to protect yourself from mosquito bites.
3. Non-essential travel to the affected countries in the Latin American region and the Caribbean should be deferred/cancelled.
4. Pregnant women or women who are trying to become pregnant should defer/cancel their travel to the affected areas.
5. All travellers to the affected countries/areas should strictly follow individual protective measures, especially during the day, to prevent mosquito bites (use of mosquito repellant cream, electronic mosquito repellants, use of bed nets, and dress that appropriately covers most of the body parts).
6. Persons with co-morbid conditions (diabetes, hypertension, chronic respiratory illness, immunity disorders, etc.) should seek advice from the nearest health facility, prior to travel to an affected country.
7. Travellers who complain of fever within two weeks of return from an affected country should report to the nearest health facility.
8. Pregnant women who have travelled to areas with Zika virus transmission should mention about their travel during ante-natal visits in order to be assessed and monitored appropriately.

As the first case of the Zika virus was confirmed in the US, other countries, including India, raised an alert to guard against the spread of the mosquito-born virus. A day after the World Health Organisation (WHO) declared emergency over the “explosive” spread of the virus, the Indian health ministry issued detailed guidelines for combating the disease.
India needs to be particularly conscious about the spread of the disease since the mosquito that carries the virus actually thrives in the country. The Aedes Aegypti mosquito whose bite transmits the disease is the same as the one that transmits dengue and chikungunya, which is widely prevalent in India.
Also read: All you need to know about the Zika virus
According to the health ministry guidelines document, “Zika virus disease has the potential for further international spread given the wide geographical distribution of the mosquito vector.” Though India has thus far not reported any case, given the large number of people suffering from dengue, Indians have to take extra care to protect themselves. Symptoms of the Zika virus disease include mild fever, headache, skin rash, muscle and joint pain, malaise, conjunctivitis; and may last for two to seven days.
Also, the mosquito behind the Zika virus seems to operate like a heat-driven missile of disease. Scientists say the hotter it gets, the better the mosquito that carries Zika virus is at transmitting a variety of dangerous illnesses. And, with the temperature rising across India, it becomes more important to take precautions and not let the Aedes Aegypti mosquito breed.
Though caution is advised, Indians need not panic. “Zika is not life-threatening like dengue and chikungunya, and it is a self-remitting disease, so — at this point — there is nothing to panic about,” says Dr Shelly Singh, senior consultant, Obstetrics and Gynaecology, Primus Hospital, Delhi.
Dr Singh admits that going by the number of dengue cases in India, there is cause for concern, because one of the problems with figuring out whether the disease exists in India is that the symptoms in a person infected by Zika are the same as those generated by dengue. “But since the virus is not indigenous to India, being careful of the vector and taking the same precautions as you would against dengue should help keep the disease at bay,” says Dr Singh. For those who travel extensively and are worried, she advises getting a basic blood test done, with special focus on IgM antibodies. An increased number of IgM antibodies may be indicative of the presence of the Zika virus.
The most important point is to avoid travelling to affected areas such as Latin American countries like Brazil, and the Caribbean, especially pregnant women and women who are planning a child. Dr Brian Levine, a New York City fertility doctor, “spent the majority of the last week counselling patients about (the) Zika virus. I’ve had to have discussions about cancelling babymoons, cancelling trips before starting in vitro fertilisation and even having husbands provide a frozen semen sample because they plan on travelling to a Zika-affected region for work.”
Also, there is a sexual means of transmitting the virus too as it lives in the semen for a long time, so it’s important to know if your partner has been to any Zika-affected region in the recent past, advises Dr Singh. As reports confirm the Texas, US, case to be transferred sexually, it becomes all the more crucial to make sure sexual partners who have visited those regions get themselves checked.
Thus far, there is no vaccine for the virus. But since it is a self-remitting disease, a person can be hopeful of being cured within a week or two, and the treatment is usually symptomatic. With respect to the concern about microcephaly — a condition in which a baby is born with an abnormally small head and brain — that has been linked to the Zika virus in Brazil (this is because there has been a 20-fold increase in microcephaly in newborns in Brazil possibly pointing to a causal relationship with the Zika virus), Dr Singh says that the tricky period is the the one between first and second trimesters for the virus to affect the unborn child and lead to microcephaly. “It’s also important to know that being infected with the Zika virus does not mean the newborn WILL have microcephaly, and neither does once having the Zika virus disease mean that future pregnancies would be affected.”
Here’s a list of the guidelines issued by the health ministry and doctors that you should keep with you:
1. Prevent mosquito breeding around houses.
2. Use mosquito repellents to protect yourself from mosquito bites.
3. Non-essential travel to the affected countries in the Latin American region and the Caribbean should be deferred/cancelled.
4. Pregnant women or women who are trying to become pregnant should defer/cancel their travel to the affected areas.
5. All travellers to the affected countries/areas should strictly follow individual protective measures, especially during the day, to prevent mosquito bites (use of mosquito repellant cream, electronic mosquito repellants, use of bed nets, and dress that appropriately covers most of the body parts).
6. Persons with co-morbid conditions (diabetes, hypertension, chronic respiratory illness, immunity disorders, etc.) should seek advice from the nearest health facility, prior to travel to an affected country.
7. Travellers who complain of fever within two weeks of return from an affected country should report to the nearest health facility.
8. Pregnant women who have travelled to areas with Zika virus transmission should mention about their travel during ante-natal visits in order to be assessed and monitored appropriately.
- See more at: http://indianexpress.com/article/lifestyle/health/the-zika-virus-disease-and-india-health-guidelines-and-facts-you-should-know/#sthash.9U0i5tWj.dpuf
As the first case of the Zika virus was confirmed in the US, other countries, including India, raised an alert to guard against the spread of the mosquito-born virus. A day after the World Health Organisation (WHO) declared emergency over the “explosive” spread of the virus, the Indian health ministry issued detailed guidelines for combating the disease.
India needs to be particularly conscious about the spread of the disease since the mosquito that carries the virus actually thrives in the country. The Aedes Aegypti mosquito whose bite transmits the disease is the same as the one that transmits dengue and chikungunya, which is widely prevalent in India.
Also read: All you need to know about the Zika virus
According to the health ministry guidelines document, “Zika virus disease has the potential for further international spread given the wide geographical distribution of the mosquito vector.” Though India has thus far not reported any case, given the large number of people suffering from dengue, Indians have to take extra care to protect themselves. Symptoms of the Zika virus disease include mild fever, headache, skin rash, muscle and joint pain, malaise, conjunctivitis; and may last for two to seven days.
Also, the mosquito behind the Zika virus seems to operate like a heat-driven missile of disease. Scientists say the hotter it gets, the better the mosquito that carries Zika virus is at transmitting a variety of dangerous illnesses. And, with the temperature rising across India, it becomes more important to take precautions and not let the Aedes Aegypti mosquito breed.
Though caution is advised, Indians need not panic. “Zika is not life-threatening like dengue and chikungunya, and it is a self-remitting disease, so — at this point — there is nothing to panic about,” says Dr Shelly Singh, senior consultant, Obstetrics and Gynaecology, Primus Hospital, Delhi.
Dr Singh admits that going by the number of dengue cases in India, there is cause for concern, because one of the problems with figuring out whether the disease exists in India is that the symptoms in a person infected by Zika are the same as those generated by dengue. “But since the virus is not indigenous to India, being careful of the vector and taking the same precautions as you would against dengue should help keep the disease at bay,” says Dr Singh. For those who travel extensively and are worried, she advises getting a basic blood test done, with special focus on IgM antibodies. An increased number of IgM antibodies may be indicative of the presence of the Zika virus.
The most important point is to avoid travelling to affected areas such as Latin American countries like Brazil, and the Caribbean, especially pregnant women and women who are planning a child. Dr Brian Levine, a New York City fertility doctor, “spent the majority of the last week counselling patients about (the) Zika virus. I’ve had to have discussions about cancelling babymoons, cancelling trips before starting in vitro fertilisation and even having husbands provide a frozen semen sample because they plan on travelling to a Zika-affected region for work.”
Also, there is a sexual means of transmitting the virus too as it lives in the semen for a long time, so it’s important to know if your partner has been to any Zika-affected region in the recent past, advises Dr Singh. As reports confirm the Texas, US, case to be transferred sexually, it becomes all the more crucial to make sure sexual partners who have visited those regions get themselves checked.
Thus far, there is no vaccine for the virus. But since it is a self-remitting disease, a person can be hopeful of being cured within a week or two, and the treatment is usually symptomatic. With respect to the concern about microcephaly — a condition in which a baby is born with an abnormally small head and brain — that has been linked to the Zika virus in Brazil (this is because there has been a 20-fold increase in microcephaly in newborns in Brazil possibly pointing to a causal relationship with the Zika virus), Dr Singh says that the tricky period is the the one between first and second trimesters for the virus to affect the unborn child and lead to microcephaly. “It’s also important to know that being infected with the Zika virus does not mean the newborn WILL have microcephaly, and neither does once having the Zika virus disease mean that future pregnancies would be affected.”
Here’s a list of the guidelines issued by the health ministry and doctors that you should keep with you:
1. Prevent mosquito breeding around houses.
2. Use mosquito repellents to protect yourself from mosquito bites.
3. Non-essential travel to the affected countries in the Latin American region and the Caribbean should be deferred/cancelled.
4. Pregnant women or women who are trying to become pregnant should defer/cancel their travel to the affected areas.
5. All travellers to the affected countries/areas should strictly follow individual protective measures, especially during the day, to prevent mosquito bites (use of mosquito repellant cream, electronic mosquito repellants, use of bed nets, and dress that appropriately covers most of the body parts).
6. Persons with co-morbid conditions (diabetes, hypertension, chronic respiratory illness, immunity disorders, etc.) should seek advice from the nearest health facility, prior to travel to an affected country.
7. Travellers who complain of fever within two weeks of return from an affected country should report to the nearest health facility.
8. Pregnant women who have travelled to areas with Zika virus transmission should mention about their travel during ante-natal visits in order to be assessed and monitored appropriately.
- See more at: http://indianexpress.com/article/lifestyle/health/the-zika-virus-disease-and-india-health-guidelines-and-facts-you-should-know/#sthash.9U0i5tWj.dpuf

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Sunday, January 03, 2016

Joint Pain- causes and treatments

THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.

FOR INFO ABOUT KNEE REPLACEMENT, YOU CAN VIEW MY BLOG
HTTP://KNEE REPLACEMENT-STICK CLUB.BLOGSPOT.COM/

FOR CROCHET DESIGNS- http://My Crochet Creations.blogspot.com/


 Joint pain is a very common complaint, and is often linked to arthritis. According to the Arthritis Foundation, about 27 million people in the United States have this chronic condition, and suffer daily pains in the knees, hips, hands and other parts of the body. It is an almost unavoidable problem and the risk of suffering from it increases as time advances.

The joints help connect bones in our body and give us enough flexibility to move them together in different angles. This allows us to make the thousands of little movements we make every day. Any damage to the joints caused by disease or injury can interfere with our movements and cause much discomfort. An injury affecting your ligaments, bursae, or the tendons surrounding your joints can be very dangerous and a source for ongoing pain. Other possible reasons for joint pain are wear and tear, gout, bone infection and cancer.
Joint pain can range from mildly irritating to extreme, it can last for a day, a few weeks (acute), or even months (chronic). It's needless to say that even short-term pain and swelling in the joints can have a dramatic impact on your quality of life, not to mention suffering a chronic condition. The biggest problem facing treatment of joint pain is that there are so many possible causes, it's hard to tell which is the best way to treat it. 

Current Treatments:
First of all, avoid doing any repetitive and strenuous physical activities. Such actions can be very damaging to your joints, that's why so many athletes and those who have hard physical jobs are commonly affected by this disease.
Another problem that dramatically increases the risk of joint pain is obesity, which will result in devastating damages to your knees and ankles. So, losing weight is often another way to reduce joint pain, even if obesity is not the problem, less weight will put less pressure on the joints. Be sure to keep a low-fat diet and talk to an expert nutritionist if you feel that your weight is affecting your joints and causing you pain.
Medications and Supplements such as non-steroidal anti-inflammatory drugs (NSAIDs) are designed to fight the inflammation that contributes to sore joints. The most prominent members of this group of drugs are aspirin, ibuprofen and naproxen. Some topical creams also help, but it's important to note that they will only deal with the joint pain itself and not with the root of the problem. This is only a temporary fix. 
Exercise is crucial for people who suffer from joint pain, it increases strength and flexibility, reduces the pain levels and helps combat muscle and body fatigue. You might think that exercise will only aggravate your joint pain, but it's actually a lack of exercise that can cause even more stiffness and pain in your joints. It's important to consult with a medical or physical professional about the types of exercises that are best for you, based on which joints are involved and what the source of the pain is. 

New and Natural Solutions to Joint Pain

Sadly, joint pain is as hard to prevent as it is to treat, but it doesn’t mean it's impossible. New advancements in the field of medicine can help deal with the pain and the problems of damaged joints better than ever before.
But make sure you pick the treatment that has enough research-proven results behind it. If you're not sure which to pick, I recommend finding a high-end relief solution that treats all types of joint pain by reducing inflammation and boosting body performance. 
Joint pain isn't going to disappear any time soon, and as we get older the wear and tear that we put on our joints becomes greater, and the pain more severe. Current techniques mostly take care of the pain, not the actual problem, while some new and natural solutions seem to be promising. I hope this, like some other chronic conditions, will one day become a thing of the past. 

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Monday, July 07, 2014

a toolkit to manage menopause


To fill the void of clear guidelines on menopause diagnosis and management and equip doctors with the fundamentals to care for any woman, researchers have developed a toolkit that has the potential to help manage menopausal conditions for women globally.

The Practitioner Toolkit for Managing the Menopause includes a diagnostic tool, as well as a compendium of approved hormone therapies.

Led by professor Susan Davis at Monash University in Australia, the research team combined existing research on menopause, diagnostic algorithms and extensive clinical experience to develop the diagnostic tool.

It also works through a patient's medical history and risk factors to arrive at the best treatment solution.

The free resource includes a flow chart of standardised questions for doctors to ask, and assess women who are potentially experiencing menopause. The kit also flags safety concerns, provides a list of all hormone therapies approved by regulators in different countries and lists non-hormonal therapies that have evidence to support their use.

The toolkit would also help inform general practitioners and patients on the benefits and risks of menopausal treatment.

"Hormone therapy is commonly prescribed to women, but its success varies according to symptom type and severity, personal circumstances and medical background," Davis said.

"This toolkit has the potential to change that because it is designed to work just as well for a 41 year old woman in Madras (Chennai) as it will for the 48 year old in Manhattan," Davis added.

Menopause marks the end of the monthly cycle of menstruation and reproductive years in a woman's life.

Due to hormonal changes, menopausal symptoms, which include hot flushes, anxiety and depression and joint pain, vary widely from none at all to debilitating, making a straightforward diagnosis difficult, Davis said. 
 
 

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