Carotid Artery Screening – Stroke Prevention Testing & Screening Near Me

Stroke Prevention  and also Screening near me
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5 Preventive Health Screenings for these Diseases:

 

 

Carotid Artery Disease – Carotid Artery Screening

An ultrasound is performed to evaluate the carotid arteries (a set of capillary in the neck that supplies blood to your brain) for the develop of fatty plaque. Carotid artery screening.  This accumulation, called atherosclerosis, is just one of the leading reasons for stroke.

Carotid (kuh-ROT-id) ultrasound is a secure, pain free procedure that makes use of acoustic waves to analyze the blood circulation via the carotid arteries. Carotid artery screening.

Your two carotid arteries are located on each side of your neck. They deliver blood from your heart to your brain.

Carotid ultrasound  examinations for  obstructed or narrowed carotid arteries, which can increase the risk of stroke. Carotid artery screening.  The results can assist your physician identify a therapy to lower your stroke risk.

Ischemic stroke. A carotid ultrasound is  executed to  evaluate for  tightened carotid arteries, which  enhance the risk of stroke.

Carotid arteries are usually narrowed by a buildup of plaque – made up of fat, cholesterol, calcium and other compounds that flow in the bloodstream. Early medical diagnosis and also therapy of a tightened carotid artery can lower stroke threat.

Your doctor will certainly suggest carotid ultrasound if you have transient ischemic strikes (TIAs) or specific sorts of stroke and might suggest a carotid ultrasound if you have medical conditions that enhance the risk of stroke, including:

  • Hypertension.
  • Diabetes.
  • High cholesterol.
  • Family history of stroke or cardiovascular disease
  • Current transient ischemic assault (TIA) or stroke.
  • Uncommon noise in carotid arteries (bruit), discovered by your physician making use of a stethoscope.
  • Coronary artery  condition.

To evaluate for tightened or obstructed blood vessels in other locations of the body, you may require added tests, consisting of:

 Stomach ultrasound. Carotid artery screening.  You may have an stomach ultrasound to check for problems impacting the blood vessels or organs in your stomach location.

Ankle-brachial index test. This test steps and also contrasts the high blood pressure in between your ankle and your arm. The examination shows lowered or blocked blood flow to your legs.

Heart stress test. Carotid artery screening.  This test shows how well your heart does when under tension, such as during exercise. Outcomes can indicate inadequate blood flow to the heart.

Carotid artery screening.  Your doctor might likewise buy imaging examinations to spot coronary artery illness.

 Various other uses of carotid ultrasound.
Your doctor  might  purchase a carotid ultrasound to:.

 Review blood  circulation through the artery after  surgical procedure to remove plaques (carotid endarterectomy).

Review the placement as well as performance of a stent, a mesh tube used to enhance blood circulation via an artery.

Situate a collection of thickened blood (hematoma) that might protect against blood flow.

 Identify other carotid artery abnormalities that may  interfere with blood flow.

 

 

Outer Arterial Disease (PAD) – Carotid Artery Screening

Carotid artery screening.  An Ankle-Brachial Index (ABI) test is carried out making use of high blood pressure cuffs on the arms and also legs. It is very important to evaluate for PAD since it raises the danger of coronary artery illness, cardiovascular disease, or stroke.

 Outer artery  illness ( likewise called  outer arterial  condition) is a  typical condition in which  tightened arteries  decrease blood flow to the arms or legs.

In  outer artery  condition (PAD), the legs or arms–  normally the legs– don’t  obtain  adequate blood  circulation to  stay on par with  need. Carotid artery screening.  This may create leg pain when walking (claudication) and also various other signs and symptoms.

Peripheral artery condition is generally a sign of a accumulation of fatty deposits in the arteries (atherosclerosis). Atherosclerosis causes narrowing of the arteries that can decrease blood circulation in the legs as well as, often, the arms.

Peripheral artery disease  therapy includes exercising,  consuming a  healthy and balanced  diet plan and not  smoking cigarettes or using tobacco.

 Signs and symptoms.
 Lots of people with peripheral artery disease have  light or no  signs and symptoms. Some people have leg  discomfort when  strolling (claudication).

Claudication symptoms include muscle mass discomfort or cramping in the legs or arms that starts throughout workout and ends with rest. Severe leg pain may make it difficult to stroll or do other kinds of physical task.

Other peripheral artery  illness  signs  might include:

  • Temperature in the reduced leg or foot, specifically when compared to the opposite side.
  • Leg pins and needles or weakness.
  • No pulse or a weak pulse in the legs or feet.
  • Agonizing cramping in one or both of the hips, thighs or calf bone muscles after specific tasks, such as walking or climbing stairways.
  • Shiny skin on the legs. Carotid artery screening.
  • Skin shade changes on the legs.
  • Slower growth of the nails.
  • Sores on the toes, feet or legs that won’t {heal| recover,
  • Pain when making use of the arms, such as hurting and cramping when knitting, creating or doing various other hand-operated tasks.
  • Impotence.
  • Hair loss or slower hair  development on the legs.

If  outer artery  illness  becomes worse, pain  might occur  throughout  remainder or when  relaxing. The pain  might  disturb sleep. Hanging the legs over the edge of the bed or  strolling may  briefly  soothe the  discomfort.

Causes.
Growth of atherosclerosis. Carotid artery screening.  Peripheral artery illness is commonly brought on by a build-up of fatty, cholesterol-containing down payments (plaques) on artery walls. This procedure is called atherosclerosis. It reduces blood circulation via the arteries.

Atherosclerosis affects arteries throughout the body. When it occurs in the arteries  providing blood to the limbs, it  triggers  outer artery  condition.

 Much less  typical  sources of peripheral artery  condition include:

  • Blood vessel swelling.
  • Injury to the arms or legs.
  • Changes in the muscles or tendons.
  • Radiation direct exposure.
  • Risk elements.
  •  Cigarette smoking or having  diabetes mellitus  considerably increases the risk of developing  outer artery disease.

 

Other things that  enhance the  threat of  outer artery  illness include:.

  • A family history of peripheral artery disease, cardiovascular disease or stroke.
  • Hypertension.
  • High cholesterol. Carotid artery screening.
  • High degrees of an amino acid called homocysteine, which increase the risk for coronary artery disease.
  • Enhancing age, especially after 65 (or after 50 if you have danger factors for atherosclerosis).
  •  Excessive weight (a body mass index over 30).

 

 Problems.
Problems of peripheral artery illness caused by atherosclerosis include:

Carotid artery screening.  Essential limb anemia. In this condition, an injury or infection creates cells to pass away. Signs and symptoms include open sores on the limbs that don’t heal.

Treatment  might  consist of amputation of the affected limb. 

Stroke and also heart attack. Plaque build up in the arteries can likewise affect the blood vessels in the heart as well as mind.

Prevention.
 The very best  method  to stop leg  discomfort  as a result of  outer artery  illness is to maintain a healthy  way of life.

That  implies:.

  • Don’t smoke.
  • Control blood glucose.
  • Eat foods that are low in saturated fat.
  • Obtain regular workout – yet check with your treatment provider regarding what kind and how much is finest for you.
  • Keep a healthy and balanced weight
  •  Handle blood pressure  as well as cholesterol.

 

Abdominal Aortic Aneurysm (AAA) – Carotid Artery Screening

Carotid artery screening.  An ultrasound is executed to screen the stomach aorta for the existence of an enhancement or aneurysm. AAA can bring about a fractured aortic artery, which is a serious medical emergency.

An abdominal aortic aneurysm is an  bigger area in the lower part of the major vessel that supplies blood to the body (aorta). Carotid artery screening.  The aorta runs from the heart via the center of the breast and also abdominal area.

The aorta is the largest blood vessel in the body, so a fractured stomach aortic aneurysm can trigger lethal blood loss.

 Depending upon the size of the aneurysm  and also  just how fast it’s  expanding, treatment  differs from watchful waiting to  emergency situation  surgical treatment.

Symptoms.
 Abdominal aortic aneurysms  typically  expand slowly without  recognizable symptoms, making them difficult to  find. Some aneurysms never rupture. 

If you have an enlarging stomach aortic aneurysm, you could observe:

  • Deep, constant pain in the tummy area or side of the stomach (abdomen).
  • Back pain.
  • A pulse near the belly button.

 Reasons.
Aneurysms can  establish anywhere along the aorta,  yet  many aortic aneurysms  take place in the part of the aorta that’s in the  tummy area ( abdominal area).

Several things can contribute in the development of an stomach aortic aneurysm, consisting of:

  • Setting of the arteries (atherosclerosis). Atherosclerosis happens when fat and also other materials build up on the lining of a blood vessel.
  • High blood pressure. Hypertension can harm and damage the aorta’s wall surfaces.
  •  Capillary diseases. These are diseases that cause blood vessels to  end up being  swollen.
    Infection in the aorta. Rarely, a bacterial or fungal infection may trigger an stomach aortic aneurysms.
  • Trauma. As an example, being hurt in a automobile crash can cause an abdominal aortic aneurysms.
  •  Danger factors.

Stomach aortic aneurysm danger elements include:

Tobacco use. Carotid artery screening.  Smoking is the greatest threat variable for aortic aneurysms. Smoking cigarettes can weaken the walls of the aorta, raising the risk of aortic aneurysm and aneurysm rupture. The longer and extra you smoke or chew tobacco, the higher the chances of developing an aortic aneurysm. Physicians suggest a one-time abdominal ultrasound to display for an abdominal aortic aneurysm in guys ages 65 to 75 who are current or previous cigarette smokers.

Age. Abdominal aortic aneurysms take place usually in people age 65 and also older.

Being male. Carotid artery screening.  Male establish stomach aortic aneurysms a lot more usually than ladies do.
Being white. People who are white are at  greater risk of abdominal aortic aneurysms.

Family history. Having a family history of  stomach aortic aneurysms  boosts the risk of having the condition.

Other aneurysms. Having an aneurysm in  an additional large  capillary, such as the artery behind the knee or the aorta in the chest (thoracic aortic aneurysm), might  raise the  threat of an abdominal aortic aneurysm.

Carotid artery screening.  If you’re at threat of an aortic aneurysm, your doctor may recommend other measures, such as drugs to lower your high blood pressure and also relieve stress on weakened arteries.

Complications.
Splits in one or more of the layers of the wall surface of the aorta (aortic dissection) or a ruptured aneurysm are the main complications. A rupture can create dangerous inner bleeding. Generally, the larger the aneurysm as well as the quicker it grows, the greater the risk of tear.

Signs and symptoms that an aortic aneurysm has actually fractured can consist of:

  • Unexpected, intense and relentless stomach or back pain, which can be called a tearing experience.
  • Low high blood pressure.
  • Quick pulse.
  • Aortic aneurysms  likewise increase the  danger of  establishing blood clots in the  location. If a blood clot  break out from the  within wall of an aneurysm  and also blocks a  capillary  somewhere else in your body, it can  create pain or block blood  circulation to the legs, toes, kidneys or abdominal  body organs.

 

Prevention.
To prevent an aortic aneurysm or maintain an aortic aneurysm from getting worse, do the following:

  • Don’t smoke or make use of cigarette products. Quit smoking or eating tobacco and also avoid secondhand smoke. If you require help stopping, speak with your doctor regarding drugs and therapies that may help. Carotid artery screening.
  • Consume a healthy diet plan. Focus on eating a variety of fruits and vegetables, entire grains, chicken, fish, and also low-fat dairy items. Avoid saturated and also trans fats and restriction salt.
  • Keep your blood pressure as well as cholesterol under control. If your doctor has recommended medicines, take them as advised.
  •  Obtain  normal exercise.  Attempt to get at  the very least 150 minutes a week of  modest aerobic  task. If you  have not been active, start  gradually  and also  accumulate.  Talk with your  physician about what  sort of activities are right for you. 

 

Atrial Fibrillation (AFib) – Carotid Artery Screening

A 6-lead electrocardiogram (EKG) is carried out by putting sensors on the arms and legs to screen for Atrial Fibrillation.  Carotid artery screening. AFib can lead to blood clots, stroke, and also heart failure, and also various other heart-related complications.

Atrial fibrillation (A-fib) is an uneven as well as often really fast heart rhythm (arrhythmia) that can lead to blood clots in the heart. A-fib rises the danger of stroke, heart failure and various other heart-related complications.

During atrial fibrillation, the heart’s upper chambers (the room) beat chaotically and irregularly – out of sync with the reduced chambers (the ventricles) of the heart. For many people, A-fib might have no signs and symptoms. Carotid artery screening.  Nonetheless, A-fib may cause a fast, pounding heart beat (palpitations), shortness of breath or weakness.

Episodes of atrial fibrillation may reoccur, or they might be consistent. A-fib itself normally isn’t life-threatening, it’s a serious medical condition that needs appropriate therapy to stop stroke.

 Therapy for atrial fibrillation  might include  medicines, therapy to reset the heart rhythm and catheter  treatments to  obstruct faulty heart signals.

A person with atrial fibrillation may  additionally have a  relevant heart rhythm problem called atrial flutter. Although atrial flutter is a different arrhythmia, the  therapy is quite similar to atrial fibrillation. 

Symptoms.
Some  individuals with atrial fibrillation (A-fib)  do not  observe  any type of symptoms. Carotid artery screening.  Those that do have atrial fibrillation symptoms may have symptoms and signs such as:.

  • Feelings of a fast, trembling or pounding heart beat (palpitations).
  • Chest discomfort.
  • Wooziness.
  • Tiredness.
  • Faintness.
  • Lowered ability to workout.
  • Shortness of breath.
  •  Weak point.

 

Atrial fibrillation may be:

Periodic (paroxysmal atrial fibrillation). A-fib symptoms come and go, typically lasting for a few mins to hrs. Sometimes symptoms take place for as long as a week as well as episodes can happen consistently. Some people with periodic A-fib demand therapy.

Consistent. With this kind of atrial fibrillation, the heart rhythm does not return to regular on its own. If a person has A-fib signs, cardioversion or treatment with drugs might be used to restore and also preserve a typical heart rhythm.

Long-standing relentless. This kind of atrial fibrillation is continuous and also lasts longer than 12 months.
Irreversible. Carotid artery screening.  In this kind of atrial fibrillation, the irregular heart rhythm can’t be restored. Medicines are required to control the heart price and to prevent blood clots.

Causes.
To understand the  reasons for A-fib, it  might be  useful to know how the heart  normally  defeats.

The common heart has four chambers – two upper chambers (atria) as well as two lower chambers (ventricles). It creates the signal that begins each heart beat.

In a normal heart rhythm:

  • The signal takes a trip from the sinus node via the two top heart chambers ( room).
  • The signal goes through a path between the top and also reduced chambers called the atrioventricular (AV) node.
  • The motion of the signal creates your heart to squeeze (contract), sending out blood to your heart and body.
  • In atrial fibrillation, the signals in the  top chambers of the heart are  disorderly. As a result, the  top chambers shake (quiver). The AV node is  after that bombarded with signals  attempting to  get across the lower heart chambers (ventricles). This causes a  rapid  and also  uneven heart rhythm. 

 

The heart rate in atrial fibrillation  might range from 100 to 175 beats a  min. The  typical  variety for a heart rate is 60 to 100 beats a  min.

 Sources of atrial fibrillation.
 Troubles with the heart’s  framework are  one of the most  usual  reason for atrial fibrillation. Carotid artery screening.  Feasible root causes of atrial fibrillation include:.

  • Coronary artery condition.
  • Cardiac arrest.
  • Heart issue that you’re born with ( hereditary heart problem).
  • Heart valve troubles.
  • Hypertension.
  • Lung conditions.
  • Physical anxiety because of surgical treatment, pneumonia or various other ailments.
  • Previous heart surgery.
  • Problem with the heart’s natural pacemaker (sick sinus syndrome).
  • Rest apnea.
  • Thyroid condition such as an over active thyroid (hyperthyroidism) and other metabolic inequalities.
  • Use stimulants, consisting of specific drugs, caffeine, cigarette and alcohol.
  • Viral infections.

Some people  that have atrial fibrillation have no  recognized heart problems or heart damage.

Threat factors. Carotid artery screening.
 Points that can  raise the  threat of atrial fibrillation (A-fib)  consist of:.

Age. The older a  individual is, the  higher the risk of developing atrial fibrillation.

Heart disease. Anyone with heart disease– such as heart shutoff troubles, congenital heart disease, heart disease, coronary artery illness, or a background of cardiac arrest or heart surgery– has an increased danger of atrial fibrillation.

High blood pressure. Having high blood pressure, specifically if it’s not well managed with lifestyle modifications or medicines, can raise the risk of atrial fibrillation.

Thyroid illness. In some people, thyroid issues might set off heart rhythm problems (arrhythmias), including atrial fibrillation.

Other chronic health and wellness conditions. People with specific chronic conditions such as diabetic issues, metabolic syndrome, persistent kidney condition, lung disease or sleep apnea have actually an enhanced threat of atrial fibrillation.

Consuming alcohol. For some individuals, drinking alcohol can activate an episode of atrial fibrillation. Binge alcohol consumption further increases the danger.

Obesity.  Carotid artery screening.  People that have excessive weight go to higher risk of establishing atrial fibrillation.

Family history. An raised risk of atrial fibrillation occurs in some family members.

Difficulties.
 Embolism are a dangerous complication of atrial fibrillation that can  bring about stroke.

In atrial fibrillation, the chaotic heart rhythm can cause blood to collect in the heart’s upper chambers ( room)  and also  type  embolisms. Carotid artery screening.  If a blood clot in the left top chamber (left atrium) breaks free from the heart area, it can take a trip to the mind as well as trigger a stroke.

The  danger of stroke from atrial fibrillation  raises as you  age.  Various other health  problems  additionally  might  raise your  danger of a stroke due to A-fib, including:.

  • Hypertension.
  • Diabetes mellitus.
  • Heart failure.
  • Some valvular heart disease.
  • Blood thinners are  frequently  suggested to prevent  embolism and strokes in  individuals with atrial fibrillation.

Prevention.
Healthy and balanced lifestyle options can reduce the danger of cardiovascular disease and may avoid atrial fibrillation. Carotid artery screening.  Below are some standard heart-healthy suggestions:

  • Consume a nutritious diet.
  • Obtain routine exercise and also preserve a healthy and balanced weight.
  • Don’t smoke.
    Avoid or restrict alcohol and caffeine.
  •  Take care of  stress and anxiety, as  extreme stress and  rage can cause heart rhythm  issues.

 

Weakening of bones Risk – Carotid Artery Screening

An ultrasound is performed to measure the shin bone for  unusual bone mass density. Carotid artery screening.  This can assist evaluate the danger of osteoporosis, a illness where bones come to be weak and fragile.

Osteoporosis triggers bones to become weak and brittle – so weak that a fall or even light tensions such as flexing over or coughing can trigger a crack. Osteoporosis-related cracks most commonly happen in the hip, wrist or back.

Weakening of bones affects men and women of all races. However white as well as Asian women, specifically older ladies that are past menopause, are at highest danger. Drugs, healthy and balanced diet as well as weight bearing exercise can assist stop bone loss or enhance currently weak bones.

 Signs.
There generally are no symptoms in the early stages of bone loss. As soon as your bones have actually been weakened by weakening of bones, you might have signs as well as symptoms that include:

  • Back pain, triggered by a fractured or broke down vertebra.
  • Loss of elevation over time.
  • A stooped posture.
  • A bone that  damages much more easily than expected.

Causes.
 Contrasting the  inside of a  healthy and balanced bone with one that has  come to be porous from osteoporosis.
Osteoporosis  damages bone.

How  most likely you are to  establish osteoporosis depends partly on how much bone mass you attained in your youth. Peak bone mass is  partially inherited and varies  likewise by ethnic group. The higher your  height bone mass, the more bone you have “in the  financial institution”  and also the  much less  most likely you are to  establish osteoporosis as you age.

Risk  elements.
A variety of aspects can enhance the chance that you’ll develop weakening of bones– including your age, race, way of life choices, as well as medical problems and therapies. Carotid artery screening.

Unchangeable  threats.
Some danger factors for weakening of bones are out of your control, consisting of:

  • Your sex. Ladies are a lot more likely to create osteoporosis than are males.
  • Age. The older you obtain, the higher your danger of weakening of bones.
  • Race. You’re at greatest danger of weakening of bones if you’re white or of Asian descent.
  • Family history. Having a parent or brother or sister with osteoporosis places you at better threat, particularly if your mom or dad fractured a hip.
  • Body structure size. Men and women that have little body frames have a tendency to have a greater risk since they could have much less bone mass to draw from as they age.
  • Hormone levels.

Weakening of bones is extra typical in individuals that have too much or too little of specific hormonal agents in their bodies. Instances consist of:

 The  loss in estrogen levels in  females at menopause is one of the  best  danger factors for developing  weakening of bones.  Therapies for prostate cancer that  decrease testosterone levels in  guys  and also  therapies for  bust cancer that reduce estrogen  degrees in  females are  most likely to accelerate bone loss. 

Dietary  variables.
Osteoporosis is  most likely to occur in  individuals  that have:

Low calcium intake. A long lasting lack of calcium contributes in the growth of weakening of bones. Low calcium consumption adds to reduced bone thickness, very early bone loss as well as an enhanced danger of cracks.

Eating disorders. Significantly limiting food consumption as well as being underweight damages bone in both men and women.

Long lasting use oral or injected corticosteroid medicines, such as prednisone and also cortisone, interferes with the bone-rebuilding procedure. Carotid artery screening.  Weakening of bones has also been connected with drugs utilized to fight or prevent:

  • Seizures.
  • Gastric reflux.
  • Cancer cells.
  • Transplant rejection.
  • Medical  problems.

The  danger of osteoporosis is  greater in  individuals who have certain medical  troubles, including:.

  • Gastric condition.
  • Inflammatory digestive tract condition.
  • Kidney or liver disease.
  • Cancer cells.
  • Numerous myeloma.
  • Rheumatoid arthritis
  •  Way of living  options.

Some bad habits can raise your risk of weakening of bones. Examples consist of:

Inactive way of life. Individuals that spend a great deal of time resting have a greater threat of osteoporosis than do those who are a lot more active. Any kind of weight bearing workout and tasks that promote equilibrium as well as great posture are useful for your bones, however walking, running, jumping, dance as well as weight training seem specifically helpful.
 Too much alcohol  intake. Carotid artery screening.  Routine intake of more than 2 alcoholic drinks a day enhances the risk of weakening of bones.

Cigarette use. The specific role tobacco plays in osteoporosis isn’t clear, however it has been shown that tobacco usage contributes to weak bones.

Complications.
 Exactly how osteoporosis can cause vertebrae to crumple and collapse.
Compression  cracks.

 Sometimes, spinal fractures can occur even if you  have not fallen. The bones that  compose your  back (vertebrae) can  compromise to the point of  breaking down, which can  cause  neck and back pain,  shed height  and also a hunched  ahead  position.

 Avoidance.
Good nutrition  and also  routine  workout are essential for keeping your bones  healthy and balanced throughout your life.

Calcium.
 Males and female  in between the ages of 18  and also 50  requirement 1,000 milligrams of calcium a day. This  everyday  quantity  raises to 1,200 milligrams when  females  transform 50  and also  guys  transform 70.

Great sources of calcium consist of:

  • Low-fat milk products.
  • Dark eco-friendly leafy {vegetables| veggies
  • Canned salmon or sardines with bones.
  • Soy items, such as tofu.
  • Calcium-fortified  grains  as well as orange juice.

 

The Health and Medicine Division of the National Academies of Sciences, Engineering,  and also Medicine  advises that total calcium  consumption, from supplements  as well as diet combined,  must  disappear than 2,000 milligrams daily for  individuals older than 50.

Vitamin D.
Vitamin D  enhances the body’s ability to  take in calcium and improves bone health in  various other ways. Carotid artery screening.  Individuals can get some of their vitamin D from sunlight, however this could not be a good source if you reside in a high latitude, if you’re housebound, or if you regularly use sun block or prevent the sunlight as a result of the danger of skin cancer cells.

 Nutritional sources of vitamin D  consist of cod liver oil, trout  as well as salmon.  Several  kinds of milk  and also  grain  have actually been fortified with vitamin D.

Most people need  at the very least 600 international units (IU) of vitamin D a day. That  suggestion increases to 800 IU a day after age 70.

People without various other sources of vitamin D and particularly with minimal sun direct exposure might need a supplement. Many multivitamin items consist of between 600 and also 800 IU of vitamin D. Up to 4,000 IU of vitamin D a day is safe for most people.

 Workout.
Workout can assist you develop solid bones and also slow bone loss. Carotid artery screening.  Workout will certainly profit your bones anytime you begin, yet you’ll gain the most advantages if you start working out frequently when you’re young as well as continue to work out throughout your life.

Weight-bearing exercises– such as strolling, jogging, running, stair climbing, missing rope, winter sports and impact-producing sporting activities– affect mainly the bones in your legs, hips as well as reduced back. Equilibrium workouts such as tai chi can reduce your danger of falling particularly as you get older.

 

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