Have you ever heard of slow twitch and fast twitch muscle fibers? Muscles that are predominantly made up of fast twitch muscle fibers are our quick reacting, higher contractile force muscles that fatigue rather quickly. Muscles made up of predominantly slow twitch muscle fibers are our less explosive muscles that are much longer lasting than their counterpart. You often hear of these two types of muscle fibers when comparing track sprinters to marathon runners. It may seem strange to think of slow and fast twitch muscle fibers within the 4 layers of our pelvic floor muscles but they are there.
It is this combination of slow and fast twitch muscle fibers that requires us to work, not only the quick flicks or quick contractions of the sphincter muscles of our pelvic floor, but also the steady, endurance of the levator ani muscles.
Let's take a quick review of the layers of the pelvic floor. The outermost layer is our anal sphincter. The contraction of this muscle is the easiest to...
The drug metformin is not recommended for people with
kidney disease. For this reason, some people think that metformin causes kidney disease. But new evidence
suggests that metformin might actually protect the kidneys.
For many people with type 2 diabetes , metformin is a very
effective drug. In everyone, the liver is a sort of "mother" organ. When blood
glucose (BG) levels go down, the liver releases some glucose into the blood to
make sure all the other organs get enough glucose energy to work properly.
When you eat and your BG levels start going up, the liver
is supposed to stop pushing all this glucose out into the bloodstream.
But for some reason, in people with type 2 diabetes, like
an oversolitous mother, the liver doesn't stop feeding the bloodstream after
meals. "Eat eat!" I can hear it say to a bloodstream already stuffed with
glucose. And this continued release of glucose into the bloodstream after
meals is one reason people with type 2 go high after me...
Q. I’ve just been diagnosed with lymphedema. What are the treatments like? A. Depending on the seriousness of your case, treatments can range from a simple hand massage, exercises, and instructions to keep your arm elevated for a portion of each day; to daily hours-long treatments for several weeks, followed by wearing a wrist to shoulder elastic sleeve, potentially for life. In other words: HUGE possible range of treatments. You won’t know what YOUR treatment will be like till you see the physical therapist or lymphedema therapist for the first time. However, you can hazard a guess, based on how much swelling you see and feel in your arm/chest area: the greater the swelling, the more advanced the lymphedema probably is, the longer-lasting the treatment will be. Q. So, let’s take a middle-of-the-road scenario, just as an example. What might that look like? A. At your first visit, the PT will measure both arms very carefully, taking their circumference ...
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