Clench your first to lower your blood pressure

Ankle sprains are one of the most common injuries, which involves trauma to the ankle ligament.  A sprain occurs when one or more of your ligaments have been stretched, twisted or torn, usually as a result of excessive force being applied to a joint.  They often occur if you change direction or speed suddenly, fall and land awkwardly or collide with an object or person – such as when playing sports. If you have ever sprained your ankle, then you will probably remember the initial pain, the considerable swelling and bruising.  The swelling from a sprain will often occur soon after the injury, but the bruising may not show until later or it may not show at all. Bruising can sometimes occur some distance from the affected joint, as blood from the damaged tissue seeps along the muscles and around the joint before coming close to the skin. It should be noted that ankle sprains take at least 12 weeks to heal. When to visit your GP? Most ankle sprains are relatively minor and can be cared for by self-treatment.  However, you should visit  your GP if you think you have a sprain and:

• the pain is particularly severe
• you cannot move the injured joint or muscle
• you cannot put any weight on the injured limb, or it gives way when you try to use it
• the injured area looks crooked or has unusual lumps or bumps (other than swelling)
• you have numbness, discolouration or coldness in any part of the injured area
• the symptoms have not started to improve within a few days of self-treatment

• Rest your ankle.
• Ice (wrap ice cubes in a tea towel) and hold over the ankle for 5 - 20 minutes every 2 hours for 2-3 days, then daily for the next 3 days.
• You can then bandage the ankle in a figure 8 with the heel in the centre of the figure 8, with a compression or elastic bandage.
• Finally you should elevate your ankle to reduce the blood flow to the area, for the first 24 hours.

• Circle your ankle clockwise repeat 3 times
• Circle your ankle anti-clockwise repeat 3 times
• Lie down on your back, point your foot and your toes and then bend your foot up the ceiling and the same time straighten your toes - repeat 3 times.
• Now sit on a char and draw the alphabet in the air with your foot this will move your ankle full a range of movement.
• Once you have your full range of movement back, then you can start increasing your proprioception.  You can stand on a pillow on one leg (your affected ankle), and build up the time until you feel that you stability is the same in both your legs.

Hot flushes are temporary but recurring feeling of warmth that spreads over the body which often begins in the head and neck region and can be very troublesome. Hot flushes often occur during sleep, producing perspiration known as night sweats. As a result, hot flushes can have a big impact on your quality of life. Hot flushes are one of the most common symptoms women have when they go through the menopause. About 3 out of 4 women going through the menopause (75%) will have hot flushes.  If you've had one, there's no mistaking it: the sudden, intense, hot feeling on your face and upper body, perhaps preceded or accompanied by a rapid heartbeat and sweating, nausea, dizziness, anxiety, headache, weakness, or a feeling of suffocation. Researches recruited 209 women who experienced at least four hot flushes or night sweats every day.  All the patients received up to 20 acupuncture treatments within 6 months.  Nearly half the women saw a 47% reduction in hot flushes or night sweats, while almost 12% reported that their symptoms had stopped almost completely although 4% actually saw an increase in their problems. What is interesting is that most of the women how saw their hot flushes and night sweats decrease started seeing improvements after three sessions. Research http://www.wakehealth.edu/News-Releases/2016/Acupuncture_Reduces_Hot_Flashes_for_Half_of_Women,_Study_Finds.htm  

In our day to day lives, during the times when we are deciding what to eat or whether to watch TV or take a walk, who is more likely to be around us, our family, friends, flat mates or a doctor?  Even for individuals living with a chronic condition who will probably only spend a few hours a year with medical professionals compared to the thousands of waking hours with family and friends. Recently researches discovered that women are more likely to survive breast cancer if they have a strong social network of friends and family, whereas those who are more isolated are twice as likely to die of the disease. University of Pennsylvania have found that good health is more likely if people see fewer doctors and more of their family and friends especially if they get their support and help.  They discovered that people are more likely to make healthier choices - like going for a walk over watching TV if they are around family and friends.  In addition people are more likely to go to the gym if they have someone to go with. Being part of a group e.g. family, friends, book club, tennis club, social group, religious/spiritual practice seems to aid our motivation to be healthier in terms of diet, exercise, smoking or drinking.  This could be because being part of a group enhances your sense of meaning in life, which in turn leads you to better take care of yourself.  Or it could be down to feeling a sense of responsibility towards other or even just wanting to fit in. References D A. Asch, and R Rosin, Engineering Social Incentives for Health, N Engl J Med 2016; 375:2511-2513 Kroenke, C. H., Michael, Y. L., Poole, E. M., Kwan, M. L., Nechuta, S., Leas, E., Caan, B. J., Pierce, J., Shu, X.-O., Zheng, Y. and Chen, W. Y. (2017), Postdiagnosis social networks and breast cancer mortality in the After Breast Cancer Pooling Project. Cancer, 123: 1228–1237. doi:10.1002/cncr.30440 Tarrant, M., Warmoth, K., Code, C., Dean, S., Goodwin, V. A., Stein, K., & Sugavanam, T. (2016). Creating psychological connections between intervention recipients: development and focus group evaluation of a group singing session for people with aphasia. BMJ Open, 6(2), e009652.