Health Tips Blog

Holiday Health and Safety Tips

The holidays are a time to celebrate, give thanks and reflect. Give the gift of health and safety by following these holiday tips:

  • Never use lighted candles near trees, boughs, curtains or any flammable item. With a natural tree, cut about 2 inches off the trunk and place the tree in a waterproof sturdy stand. Keep the tree well-watered so it does not dry out quickly. Dry branches can catch fire from heat of lightbulbs. If you use an artificial tree, choose one that is tested and labeled fire resistant. Use no more than 3 light sets on one extension cord. Use a proper step stool or ladder for putting up decorations. Don’t stand on chairs or other furniture.
  • Wash your hands often. Keeping your hands clean is one of the most important steps to avoid illness and spreading germs to others. Wash your hands with soap and clean running water for at least 20 seconds. You may use an alcohol-based hand sanitizer and let the product dry on skin.
  • Travel safely. Don’t drink and drive or let someone else drink and drive. Wear your seat belt. Always buckle your child in approved safety seat according to height and weight. Get vaccinations if traveling out of the country.
  • Make sure you wear several layers of loose-fitting, tightly woven clothing for the cold weather. Cold temperatures can cause serious health issues for children, elderly and pets.
  • As you are preparing the holiday meals, make sure you wash your hands and counter tops frequently. Avoid cross contamination of surfaces with raw meat, poultry, seafood and eggs with ready-to-eat foods and eating surfaces. Do not leave perishable foods out longer than 2 hours.
  • Keep a watchful eye on young children with potentially dangerous toys, foods, drinks and choking hazards (like coins and hard candy). Remember, if the object can fit down the roll of a toilet paper holder, it can slide down a child’s airway.
  • Enjoy the holidays the healthy way. Choose more vegetables and fruits.  Find fun ways to stay active, such as dancing to your favorite holiday music. Be active at least 2 1/2 hours per week. Children and teens should be active for at least 1 hour per day.

Manage stress by sticking to a financial and time budget. Limit overspending.  Balance work, home and play. Get enough sleep. Don’t overcommit to holiday gatherings. 

Age Related Physical Changes

Agerelatedphyschanges

The world is aging. The number of Americans aged 65 and older is projected to double  from 46 million to more than 98 million by 2060.It will be the first time in history than the number of older adults outnumbers children under age 5.

Normal age-related physical changes include the following:

BONES- once we reach the age of 30, bone marrow gradually starts to disappear from the bones in our arms and legs. There is also a reduction of calcium that leads to decreased bone mass. A fall can lead to serious injury and loss of independence. Talk to your provider about diet, exercise, vitamins and supplements to keep bones healthy and strong. Consider modifying your living environment to minimize the risk of falls. Remove hazards such as throw rugs and extension cords. Add grab bars in the bathroom and secure railings along stairs.

EYES- By age 40, almost everyone is reaching for reading glasses. Presbyopia occurs when the eye lens becomes stiff and won’t adjust to re focus from distance to near vision. Clouding of lens or cataracts may begin to affect your vision when you reach your 60’s. Long term exposure to sunlight increases risk of cataracts. Recommend sunglasses and adequate lighting in your home.

HEARING – Age related hearing loss (presbycusis) is the loss of hearing that gradually occurs in most of us as we grow older. About one in three people between the ages of 65-74 have hearing loss. Having trouble hearing can make it hard to understand and follow your provider’s advice, respond to warnings, hear phones, doorbells, and smoke alarms. Hearing loss can make it hard to enjoy talking to family and friends, leading to isolation.  Because the loss is gradual, you may not realize you have lost some of your ability to hear. Some medications can affect your hearing. If you think you have a hearing problem, seek advice from your health care provider.

HEIGHT – Beginning in our 40’s, we lose one to two inches in height. Most of the loss occurs in the spine as the disks between vertebrae shrink.

MUSCLES – We experience a steady reduction in physical strength due to loss of muscle tissue, with the most rapid decline occurring after age 50. Be careful not to overdo it. Weight bearing exercises such as walking, dancing, or lifting weights can help you maintain muscle mass, strength and balance.

SKIN- Age spots and wrinkles become noticeable around age 40-50 and overall skin is less elastic. Skin is less resistant to cuts and bruises, especially if you are taking any blood thinner medications such as aspirin. Make sure dry skin is hydrated to help prevent cuts with moisturizing lotion and increase water hydration. Many older people are more sensitive to air temperature and less insulated from the cold with lower body weight, inactivity, and reduced muscle mass.

TEETH – With proper dental care, teeth should last a lifetime. As you age, your teeth will become more sensitive to hot and cold temperatures. Tooth decay, gum disease and discoloration of teeth occur with age. Keep your scheduled dental appointments twice a year for assessment and cleaning. Limit caffeine and carbonated beverages that can decrease dental enamel.

Continue to engage in routine preventative health behaviors, such as annual physical exams, lab work and immunizations (such as flu, pneumonia, shingles). If you feel anxious or depressed or are using alcohol or drugs to manage your mood, seek assistance. Untreated mental health problems are associated with poor physical health outcomes including increased disability, loss of independence, and decreased quality of life. The staff at Western Reserve Hospital is here to help with your health care needs as you age.

Halloween Safety Tips

Trick Or Treat

Just a few reminders to keep your little goblins safe during the much anticipated childhood event of “Trick or Treat”:

1. When selecting a costume, make sure it is the correct size and length to prevent any falls or trips. Plan costumes that are bright and reflective. Make sure shoes fit well. Add reflective tape striping to costumes and trick or treat bags for improved visibility. Make sure costumes are of nonflammable material. Masks can block vision, consider non toxic make up. Pretest make up on a small patch of skin to make sure there will be no reactions for the big day. Make sure accessories such as a sword or stick are not sharp, so if a young child falls, they will not get injured. Glow sticks are a fun way to improve visibility, but remember the liquid inside could be hazardous if ingested.

2. Walk safely on sidewalks and do not cut across yards. If no sidewalk is available, walk far away from the road facing traffic. Remember motorists may have trouble seeing the Trick or Treaters. Don’t assume because one car stopped, the other cars will. Enter and exit driveways and alleys slowly. Teach your child never to dart out into the street or cross between parked cars. Children under 12 should have adult supervision.

3. Make sure your porch or doorway is free of clutter so a child cannot trip when visiting your home. Remove toys, garden hoses, yard tools, etc. Restrain pets so they cannot jump on a child or bite them. Make sure your pathway is well light and free of slippery leaves (or snow!). Make sure candle lit pumpkins are on a sturdy table and away from flammable objects.

4. Review with children how to call 9-1-1 if they become separated, lost or if they ever have an emergency. Review with children their address and contact phone number. A parent could place this information inside the costume to facilitate an easier relocation of a lost child.

Pneumococcal Pneumonia

Pneumonia Vax

Pneumonia signs and symptoms include chest pain with difficulty breathing, high fevers with chills, excessive sweating, fatigue, and a cough with phlegm production that persists or worsens. Pneumonia can be serious and symptoms can last for weeks, potentially requiring hospitalization and, in some cases, death. Prevnar 13 is a pneumonia vaccine approved for adults 18 years of age and older but recommended for adults 50 years of age and older. It offers protection against 13 strains of streptococcus pneumoniae strains. As you get older, your immune system cannot respond as quickly to infection, and chronic health conditions could increase your risk for developing pneumococcal pneumonia. The CDC recommends adults 65 and older receive the Prevnar 13 vaccine to protect against pneumococcal disease.

Shingles (Herpes Zoster)

Shingles Vax

Nearly one in three people in the United States get shingles, resulting in an estimated one million cases diagnosed annually. The risk for developing shingles increases as you get older but children can contract the virus, especially if they have had chicken pox in the past. Shingles is a painful rash that develops on one side of the face or body. The most common complication is post herpetic neuralgia (PHN) that can cause severe and debilitating pain, lasting weeks, months or years. Shingles can also lead to serious complications involving the eyes, such as vision loss and blindness; rarely can it cause pneumonia, hearing problems, brain inflammation (encephalitis), or death. Zostavax is the only shingles vaccine approved in the United States, which has been used since 2006. This vaccine reduces the risk of developing shingles by 51% and PHN by 67%. Studies show 99% of Americans 40 years of age and up has had chicken pox , therefore, everyone 60 years of age and older should get the vaccine. You should still receive the vaccine to prevent future occurrences of the virus, even if you have had shingles in the past.

Video Running Analysis

Running 

Do you have difficulty running due to knee or calf pain?  Does your hip or back pain prevent you from training for your next race? If so, a video running analysis is perfect for you!  Running is an activity that requires repetitive use of many muscles and joints in your body. Asymmetries can cause abnormal stress and strain on your body and create pain which may prevent you from running or from meeting your potential as a runner.   Running is a single leg activity and therefore requires many different structures to be balanced and work together. If your muscles are tight, weak or even over stretched, you may develop abnormal running patterns which may create pain, decreased performance or injury over time.  Although it is likely that the therapist can see “something is not right” when watching you run, finding faults in someone’s running pattern is much more likely with a video that can be broken down and analyzed in slow motion.  Even if you are not currently injured, a running video analysis is a great way to help you become a more efficient runner.

A running gait analysis will consist of a brief warm up on a treadmill followed by a 1 minute video from the side, front, and back.  The video will be reviewed by a Licensed Physical Therapist to look for potential factors that might lead to or be causing your pain. Angles will be measured and compared to normative data from current research. Suggestions will be made for corrective or preventive exercises to help you run more efficiently and overall, become a better runner. You will get a copy of your video electronically.

If you think you will benefit from a running gait analysis or to make an appointment, please call our Physical Therapy Department at the Natatorium, Rehab at the Nat, at (330)926-0384. You will need a Physical Therapy prescription from your physician.

It's Flu Season: Are you ready?

Blog Flu Shot 

Influenza is a viral respiratory infection that differs from year to year. It can spread from one person to another through small droplets of saliva expelled into the air when an infected person coughs or sneezes. The virus can also spread through contact with objects the infected person has touched, such as a door handle or phone. The flu comes on suddenly with symptoms of cough, fever, chills, body aches and fatigue, which may last up to 10 days. You will need to stay home from work or school while you have a fever. The best treatments include resting, drinking fluids and taking over-the-counter pain medication such as acetaminophen or ibuprofen per package directions. Try and limit your smoking. If you have kidney, heart or liver disease talk with your health care provider before you increase your fluid intake. Your urine should be a pale yellow or clear like water. Your health care provider may prescribe antiviral medications to prevent other health problems, such as pneumonia, from developing. Older people and those who have lung disease are most at risk for contracting pneumonia, or other health complications, from influenza. Influenza causes thousands of deaths each year and hundreds of thousands of hospitalizations.

Influenza Virus Vaccine Injection

                The injectable influenza virus vaccine (flu shot) is a “killed virus” vaccine. Becoming infected with the flu is much more dangerous to your health than receiving this vaccine. The influenza vaccine works by exposing you to a small dose of the virus, which helps your body develop immunity to it. The flu shot will not treat an active infection that has already developed in the body. The influenza virus vaccine is for use in adults and children who are at least 6 months old. Please discuss with your health care provider or pharmacist about medications you are taking that could weaken your immune system such as steroids, medications used to treat psoriasis, rheumatoid arthritis or other autoimmune disorders, or medicines to treat or prevent organ transplant rejection. You may need to wait until treatment is completed to receive the flu shot. Additional information is available from your local health department and the Center for Disease Control and Prevention.

Balance

I Stock -balance 

Do you experience balance difficulties, stumbles, or falls? This is not a normal part of life and can be corrected! Physical therapists trained in balance dysfunction are available and can teach you how to stay safe and balanced. Our Easy Street Therapy department has a falls and balance program which will assess why you are off balance. Typically, your balance utilizes input from 3 separate systems to maintain balance: your vision, your inner ear, and the feedback from your feet. A physical therapist will help your brain to integrate the information from these systems to keep you more confident.

In addition to the usual equipment you see in balance training such as parallel bars or foam pads, our Easy Street Therapy location also has a balance trainer from NeuroCom called the Balance Master. This device was created by NASA to evaluate the inner ear function and balance control of astronauts.

To learn more, contact Easy Street Therapy at (330) 971-7445 to schedule your evaluation. 

Dizziness

I Stock -dizziness 

Do you have dizziness when rolling or getting out of bed? Did you know that this room-spinning dizziness can be treated in as little as one appointment with a physical therapist? This condition is called BPPV or benign paroxysmal positional vertigo and is the number one cause of dizziness. BPPV is caused when calcium carbonate crystals, called otoconia, are displaced into the semi-circular canals in the inner ear. A physical therapist can reposition these crystals which will eliminate the spinning dizziness!

This treatment is over 85% successful on the first attempt, which means a quick resolution of dizziness. A physical therapist at our Easy Street location specializes in dizziness and can help you! Often after having BPPV, a person can experience balance difficulties which your physical therapist can help you correct.

To learn more, contact Easy Street Therapy at (330) 971-7445 to schedule your evaluation.

Plantar Fasciitis

Plantarfasciitis Web 

Do you have foot pain when you take those first steps in the morning? Or when you stand for a while? You may have plantar fasciitis. Traditional Physical Therapy interventions may include modalities like Graston, ultrasound, ice as well as range of motion, stretching and strengthening exercises.

Some plantar fasciitis symptoms respond well to a Mulligan treatment approach, which involves a simple and pain free joint mobilization technique followed by a light taping procedure. This approach typically only involves a two-week treatment duration.

Our physical therapists at the Natatorium are available to evaluate your foot and ankle issues and recommend treatment options to improve your foot pain and get you back to usual daily and recreational activities.

To learn more, contact Rehab at the Natatorium at (330) 926-0384 to schedule your evaluation. New evaluations are typically seen within 24 - 48 hours.