Exercising With An Old Injury

Don’t let an old injury stop you from keeping fit and healthy

If you suffered an injury in your youth, it could come back to haunt you as you get older. GP, Dr James Thompson offers advice on the three most common recurring injuries.
Sprained ankle

The injury: “A sprained ankle is damage to the ligaments that support the joint,” explains Dr Thompson. “Bad sprains can tear the ligaments. If the ligaments are not treated appropriately at the time of the injury, the ligaments may remain weak and could increase the risk of further sprains.”
The symptoms: “If you notice any of the symptoms you experienced during the initial injury, it may well be that your injury has returned or flared up,” he says. “If your ankle is giving way more often, the ankle ligaments could have weakened.”
Take action: Notice the warning signs of similar symptoms and be proactive. Don’t leave them to get worse. Dig out your old exercise sheets from when you were first injured and start doing them again.

Knee cartilage problems

The injury: People who play sports that require sudden changes in movement and speed, like football and netball, could suffer from cartilage tears. “Cartilage tears do not heal spontaneously,” Dr Thompson says. “People often rest the knee and symptoms subside without treatment. However, the chances of aggravating the injury are high if you return to the same activities, potentially making the tear worse.”
The symptoms: Cartilage trouble could give you pain when flexing your knee. You may also experience fluid on your knee. You will often find you get pain along the border of the knee joint on the side of the affected cartilage and in extreme cases your knee may lock.

Take action: Try to lose weight if you’re carrying a few extra pounds as this could put strain on your joints and their support structures. A glucosamine supplement could help repair joint and cartilage health as our body’s natural supply of this amino sugar declines with age.

Shoulder pain

The injury: “Falling awkwardly or taking an impact to your shoulder could result in pain when moving the arm in an arc or weakness in certain planes of movement,” says Dr Thompson. Shoulder dislocations can be particularly damaging to the ligaments and rotator cuff muscles.
The symptoms: Shoulder injuries will often niggle if not sorted properly and could give rise to weakness of the joint on that side. “Certain movements could flare the pain. Dislocated shoulders can lead to sufficient weakening of the ligaments and mean further dislocations become common,” he says.
Take action: Physiotherapy, both private and through the NHS, could be a good source of advice and treatment. “The best advice I can give is be vigilant,” Dr Thompson adds.

Dr James Thompson is a GP who works in private and NHS surgeries in London and the East Midlands.

 

 

 

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What is Creatine?

What is creatine? This is a form of nitrogenous organic acid occurring naturally in vertebrates whose major role is to assist in distribution of energy to various body cells especially the muscles. This role is achieved through increased formation of ATP i.e. adenosine triphosphate.

Biosynthesis

Creatine is produced naturally by your body from amino acids especially in your liver and kidney after which it is distributed via blood for it to get used by your muscles. The highest percentage i.e. 95 percent of the total creatine contained in your body is located in your skeletal muscle. The manufacture of creatine in your body occurs from glycine, L-aiginine and L-methionine. The enzyme GATM i.e. (L-arginine: glycine amidinotransferase, EC 2.1.4.1) refers to a mitochondria enzyme which catalyzes the creatine`s biosynthesis first rate-limiting step and is mainly expressed in your pancreas and kidneys. The second enzyme in Guanidinoacetate N-methyltransferase, EC: 2.1.1.2 is mainly expressed in your pancreas and liver.

The Phosphocreatine System

Creatine synthesised in your kidney and liver, is transported via your blood and is utilised by tissues requiring high energy levels e.g. the skeletal muscle and brain, via an active transportation system. Your skeletal muscle contains 2-5 mM of ATP which would make your muscles to contract for a few seconds. Fortunately, when the demand of energy by your body is very high, the phosphagen system smoothly re-synthesises both ADP and ATP with phosphocreatine`s help via a reversible reaction with enzyme CK i.e. creatine kinase. Your skeletal muscle contains 20-35 mM or more of PCr concentration. Additionally, in most of your muscles, the ATP CK regeneration capacity is usually high hence not being one of the limiting factors. Although the ATP cellular concentrations are limited, it is difficult to detect changes since ATP is replenished continuously and efficiently from huge pools of CK and PCr. Creatine is capable of increasing PCr muscle stores, potentially increasing your muscles capability to regenerate ATP from ADP for it to meet high energy demands.

Uses as a supplement

Creatine supplements are mostly used by sprinters, athletes, wrestlers, bodybuilders as well as other people who may wish to tone up their muscles. This is achieved through consumption of creatine 2-3 times the quantity that could have been gained from a diet containing high protein contents.

Synonymous with muscle growth Creatine supplement is made from amino acid, which in its part is naturally produced from the body in the kidney, liver, and pancreases. This therefore shows that Creatine is not a steroid but a product that is readily available in the body but in small quantities and therefore the need for supplementation.

One the greatest health benefits of Creatine supplement is the fact that it increases the size of the muscle tissues and therefore the overall strength of a person. Creatine supplement also speeds up the healing process from injuries while acting as a buffer of excess lactic acid in the body. By increasing energy levels and eliminating excess fat in the body, Creatine supplement increases the endurance level of the body. Lastly, Creatine supplements increases the water retention ability of the muscles thereby enabling a person grow bigger within the shortest time possible, which explain why it is so popular with bodybuilders.

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Dietary supplements can contain a wide variety of ingredients, either singly or in combination, including nutrients, botanicals and ‘bioactive components’ commonly found in foods. They are marketed and used by consumers for a range of reasons: to enhance “well-being”, as traditional medicines, for health promotion or disease risk reduction, and as alternatives or complements to conventional drug therapies. On a global basis, the dietary supplement industry has enjoyed rapid growth, becoming a multi-billion dollar enterprise over the last 10 years. This growth has been associated with significant changes in both the types of products available and the reasons for using these products. In many cases, these changes have occurred without the benefit of a sound scientific basis for evaluating the safety and efficacy of these products under the new conditions of use and frequently the same limited scientific evidence is used, even though current product composition, user populations, purported beneficial effects, and conditions of use may differ significantly from the available evidence or historical usage. This book presents systematic examinations of the scientific data that are available and/or needed to substantiate and evaluate the safety and efficacy of dietary supplements. A series of case studies that are illustrative of the types of scientific challenges that have been encountered in substantiating safety and efficacy for various product types are employed to point out some of the successes but also frustrations that have occurred in recent years. Discussions among presenters and participants identify the lessons learned from these experiences and formulate ideas for improved approaches to identifying research needs and for enhancing the quality and relevance of the scientific evidence available for policy decisions. Dietary Supplements and Health constitutes a useful resource for nutritionists, biochemists, public health researchers
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