Eco Test For Heart – Stroke Prevention Testing & Screening Near Me

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

 

 

Carotid Artery Disease – Eco Test For Heart

An ultrasound is performed to screen the carotid arteries (a set of capillary in the neck that supplies blood to your brain) for the develop of fatty plaque. Eco test for heart.  This buildup, called atherosclerosis, is among the leading sources of stroke.

Carotid (kuh-ROT-id) ultrasound is a risk-free, painless treatment that utilizes acoustic waves to take a look at the blood circulation via the carotid arteries. Eco test for heart.

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

Carotid ultrasound tests for  obstructed or narrowed carotid arteries, which can  raise the risk of stroke. Eco test for heart.  The outcomes can aid your medical professional establish a treatment to decrease your stroke risk.

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

Carotid arteries are normally narrowed by a accumulation of plaque – made up of fat, cholesterol, calcium and other compounds that flow in the bloodstream. Early medical diagnosis and also treatment of a tightened carotid artery can decrease stroke risk.

Your physician will certainly advise carotid ultrasound if you have short term ischemic strikes (TIAs) or specific kinds of stroke and may advise a carotid ultrasound if you have clinical problems that raise the danger of stroke, including:

  • Hypertension.
  • Diabetes.
  • High cholesterol.
  • Family history of stroke or heart problem
  • Recent short-term ischemic strike (TIA) or stroke.
  • Unusual sound in carotid arteries (bruit), spoted by your physician utilizing a stethoscope.
  • Coronary artery  illness.

To screen for narrowed or blocked capillary in various other areas of the body, you might need added tests, including:

Abdominal ultrasound. Eco test for heart.  You may have an abdominal ultrasound to check for conditions affecting the blood vessels or organs in your stomach area.

Ankle-brachial index examination. This test measures as well as contrasts the high blood pressure between your ankle joint and also your arm. The test shows lowered or obstructed blood circulation to your legs.

Cardiac stress test. Eco test for heart.  This test shows how well your heart performs when under stress and anxiety, such as during exercise. Outcomes can show poor blood flow to the heart.

Eco test for heart.  Your medical professional might also purchase imaging tests to spot coronary artery disease.

Other uses of carotid ultrasound.
Your doctor  might  get a carotid ultrasound to:.

 Review blood flow  with the artery after surgery to  eliminate plaques (carotid endarterectomy).

Examine the placement as well as efficiency of a stent, a mesh tube utilized to enhance blood flow through an artery.

Locate a collection of clotted blood (hematoma) that might stop blood circulation.

 Spot other carotid artery abnormalities that  might  interfere with blood flow.

 

 

Outer Arterial Disease (PAD) – Eco Test For Heart

Eco test for heart.  An Ankle-Brachial Index (ABI) examination is executed using high blood pressure cuffs on the arms and also legs. It is important to screen for PAD since it boosts the danger of coronary artery disease, cardiovascular disease, or stroke.

 Outer artery  illness ( additionally called peripheral arterial  illness) is a common  problem in which  tightened arteries reduce blood  circulation to the arms or legs.

In  outer artery disease (PAD), the legs or arms– usually the legs–  do not  obtain  adequate blood  circulation to  stay on top of demand. Eco test for heart.  This might trigger leg discomfort when walking (claudication) and various other signs and symptoms.

Peripheral artery disease is normally a sign of a accumulation of fatty deposits in the arteries (atherosclerosis). Atherosclerosis triggers narrowing of the arteries that can minimize blood flow in the legs and, in some cases, the arms.

 Outer artery  condition treatment includes exercising, eating a  healthy and balanced  diet plan  as well as not smoking or  making use of  cigarette.

 Signs.
Many people with  outer artery  illness have  moderate or no  signs and symptoms. Some  individuals have leg  discomfort when  strolling (claudication).

Claudication signs and symptoms include muscular tissue discomfort or cramping in the legs or arms that begins throughout exercise and finishes with rest. Extreme leg pain may make it hard to stroll or do other types of physical task.

 Various other  outer artery disease  signs and symptoms may  consist of:

  • Coldness in the lower leg or foot, particularly when compared to the opposite.
  • Leg feeling numb or weakness.
  • No pulse or a weak pulse in the legs or feet.
  • Uncomfortable cramping in one or both of the hips, upper legs or calf bone muscles after certain tasks, such as strolling or climbing up stairs.
  • Shiny skin on the legs. Eco test for heart.
  • Skin color adjustments on the legs.
  • Slower growth of the toe nails.
  • Sores on the toes, feet or legs that won’t {heal| recover,
  • Pain when making use of the arms, such as aching and cramping when knitting, writing or doing other hands-on tasks.
  • Impotence.
  •  Loss of hair or slower hair  development on the legs.

If peripheral artery  condition  worsens,  discomfort may occur  throughout rest or when  relaxing. The pain  might interrupt sleep. Hanging the legs over the edge of the bed or  strolling may  briefly relieve the pain.

 Reasons.
Growth of atherosclerosis. Eco test for heart.  Peripheral artery illness is frequently triggered by a accumulation of fatty, cholesterol-containing down payments (plaques) on artery wall surfaces. This process is called atherosclerosis. It minimizes blood flow with the arteries.

Atherosclerosis  impacts arteries throughout the body. When it occurs in the arteries supplying blood to the  arm or legs, it causes peripheral artery  condition.

 Much less  usual  root causes of  outer artery  condition include:

  • Capillary swelling.
  • Injury to the arms or legs.
  • Changes in the muscles or ligaments.
  • Radiation exposure.
  • Threat aspects.
  • Smoking or having diabetes  substantially  raises the risk of developing  outer artery disease.

 

Other  points that increase the  threat of  outer artery disease  consist of:.

  • A family history of outer artery condition, heart disease or stroke.
  • Hypertension.
  • High cholesterol. Eco test for heart.
  • High degrees of an amino acid called homocysteine, which enhance the danger for coronary artery condition.
  • Raising age, especially after 65 (or after 50 if you have danger elements for atherosclerosis).
  •  Weight problems (a body mass index over 30).

 

 Issues.
Difficulties of outer artery disease caused by atherosclerosis include:

Eco test for heart.  Critical arm or leg ischemia. In this problem, an injury or infection creates tissue to pass away. Symptoms include open sores on the limbs that don’t recover.

 Therapy may  consist of amputation of the affected  arm or leg. 

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

 Avoidance.
 The most effective way  to avoid leg pain  because of peripheral artery disease is to  keep a healthy  way of living.

That  implies:.

  • Don’t smoke.
  • Control blood sugar.
  • Eat foods that are reduced in saturated fat.
  • Obtain normal exercise – however get in touch with your treatment service provider regarding what type and also just how much is finest for you.
  • Preserve a healthy weight
  •  Take care of  high blood pressure and cholesterol.

 

Stomach Aortic Aneurysm (AAA) – Eco Test For Heart

Eco test for heart.  An ultrasound is done to screen the abdominal aorta for the existence of an enlargement or aneurysm. AAA can lead to a burst aortic artery, which is a significant clinical emergency.

An abdominal aortic aneurysm is an enlarged area in the lower part of the  significant vessel that supplies blood to the body (aorta). Eco test for heart.  The aorta runs from the heart with the facility of the upper body as well as abdomen.

The aorta is the largest blood vessel in the body, so a fractured stomach aortic aneurysm can create dangerous bleeding.

Depending on the size of the aneurysm and how  quick it’s growing,  therapy varies from  careful waiting to emergency  surgical procedure.

 Signs.
 Stomach aortic aneurysms  typically grow slowly without noticeable  signs, making them  tough to  discover. Some aneurysms never rupture. Many start small  and also stay  tiny. Others  enlarge  gradually,  often  rapidly. 

If you have an increasing the size of stomach aortic aneurysm, you might discover:

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

 Reasons.
Aneurysms can  create anywhere along the aorta,  yet  a lot of aortic aneurysms  happen in the part of the aorta that’s in the  stomach  location (abdomen).

Numerous points can play a role in the development of an stomach aortic aneurysm, including:

  • Setting of the arteries (atherosclerosis). Atherosclerosis occurs when fat and various other substances accumulate on the lining of a blood vessel.
  • Hypertension. Hypertension can damage and damage the aorta’s walls.
  •  Capillary  illness. These are  conditions that cause  capillary to  end up being  swollen.
    Infection in the aorta. Hardly ever, a microbial or fungal infection might cause an abdominal aortic aneurysms.
  • Injury. As an example, being wounded in a auto crash can create an abdominal aortic aneurysms.
  •  Danger factors.

Stomach aortic aneurysm risk elements consist of:

Tobacco usage. Eco test for heart.  Cigarette smoking is the greatest threat aspect for aortic aneurysms. Smoking cigarettes can weaken the walls of the aorta, raising the danger of aortic aneurysm as well as aneurysm rupture. The longer as well as extra you smoke or eat tobacco, the better the possibilities of establishing an aortic aneurysm. Medical professionals suggest a one-time abdominal ultrasound to display for an stomach aortic aneurysm in guys ages 65 to 75 who are current or previous cigarette smokers.

Age. Stomach aortic aneurysms occur frequently in individuals age 65 and older.

Being  man. Eco test for heart.  Male establish stomach aortic aneurysms a lot more typically than females do.
Being white. People  that are white are at higher risk of  stomach aortic aneurysms.

Family history. Having a family history of  stomach aortic aneurysms  enhances the  threat of having the condition.

 Various other aneurysms. Having an aneurysm in  an additional  big  capillary, such as the artery behind the knee or the aorta in the  breast (thoracic aortic aneurysm),  could increase the  danger of an abdominal aortic aneurysm.

Eco test for heart.  If you’re at danger of an aortic aneurysm, your physician might recommend various other steps, such as drugs to decrease your blood pressure and ease anxiety on damaged arteries.

 Issues.
Tears in one or more of the layers of the wall of the aorta (aortic breakdown) or a burst aneurysm are the major issues. A rupture can create life threatening inner blood loss. As a whole, the bigger the aneurysm and also the faster it grows, the higher the risk of tear.

Signs and symptoms that an aortic aneurysm has ruptured can include:

  • Unexpected, intense and also persistent abdominal or pain in the back, which can be called a tearing sensation.
  • Reduced high blood pressure.
  • Rapid pulse.
  • Aortic aneurysms  likewise  enhance the  danger of  establishing blood clots in the area. If a  embolism  break out from the inside  wall surface of an aneurysm  and also  obstructs a blood vessel  somewhere else in your body, it can  create pain or block blood  circulation to the legs, toes, kidneys or abdominal organs.

 

 Avoidance.
To stop an aortic aneurysm or keep an aortic aneurysm from intensifying, do the following:

  • Do not smoke or use tobacco products. Stopped smoking or eating cigarette and prevent secondhand smoke. If you need aid quitting, speak to your physician concerning drugs as well as therapies that may help. Eco test for heart.
  • Eat a healthy and balanced diet. Focus on eating a selection of fruits and vegetables, whole grains, fowl, fish, and also low-fat milk products. Avoid saturated as well as trans fats as well as restriction salt.
  • Maintain your high blood pressure as well as cholesterol under control. If your physician has prescribed medications, take them as advised.
  •  Get  routine exercise.  Attempt to  obtain at  the very least 150 minutes a week of moderate  cardiovascular activity. 

 

Atrial Fibrillation (AFib) – Eco Test For Heart

A 6-lead electrocardiogram (EKG) is performed by positioning sensors on the arms and also legs to screen for Atrial Fibrillation.  Eco test for heart. AFib can cause blood clots, stroke, and heart failure, and other heart-related problems.

Atrial fibrillation (A-fib) is an uneven and also commonly really fast heart rhythm (arrhythmia) that can cause blood clots in the heart. A-fib rises the danger of stroke, cardiac arrest and also other heart-related difficulties.

During atrial fibrillation, the heart’s top chambers (the room) beat chaotically and irregularly – out of sync with the reduced chambers (the ventricles) of the heart. For many individuals, A-fib may have no signs. Eco test for heart.  A-fib might create a quickly, pounding heartbeat (palpitations), lack of breath or weakness.

Episodes of atrial fibrillation might reoccur, or they might be relentless. Although A-fib itself generally isn’t lethal, it’s a major clinical condition that requires correct therapy to stop stroke.

Treatment for atrial fibrillation  might  consist of  medicines, therapy to reset the heart rhythm  and also catheter  treatments to block  malfunctioning heart signals.

A  individual with atrial fibrillation  might also have a  associated heart rhythm problem called atrial flutter. Although atrial flutter is a different arrhythmia, the treatment is  rather  comparable to atrial fibrillation. 

Symptoms.
Some people with atrial fibrillation (A-fib)  do not  observe  any kind of symptoms. Eco test for heart.  Those who do have atrial fibrillation signs might have signs and symptoms such as:.

  • Feelings of a fast, fluttering or pounding heart beat (palpitations).
  • Breast discomfort.
  • Dizziness.
  • Fatigue.
  • Faintness.
  • Reduced ability to exercise.
  • Lack of breath.
  • Weakness.

 

Atrial fibrillation might be:

Occasional (paroxysmal atrial fibrillation). A-fib signs and symptoms reoccur, typically lasting for a couple of minutes to hrs. Often signs happen for as long as a week and also episodes can occur consistently. Some individuals with periodic A-fib demand treatment.

Relentless. With this sort of atrial fibrillation, the heart rhythm does not go back to typical on its own. If a person has A-fib symptoms, cardioversion or therapy with medicines may be made use of to bring back and also preserve a normal heart rhythm.

Long-lasting relentless. This type of atrial fibrillation is continuous as well as lasts longer than 12 months.
Irreversible. Eco test for heart.  In this sort of atrial fibrillation, the irregular heart rhythm can not be restored. Drugs are needed to manage the heart rate as well as to stop blood clots.

 Reasons.
To  recognize the  reasons for A-fib, it may be helpful to  recognize  exactly how the heart  normally  defeats.

The regular heart has 4 chambers – 2 top chambers ( room) as well as 2 reduced chambers (ventricles). It creates the signal that starts each heart beat.

In a routine heart rhythm:

  • The signal travels from the sinus node through the two top heart chambers ( room).
  • The signal goes through a pathway between the top as well as lower chambers called the atrioventricular (AV) node.
  • The motion of the signal triggers your heart to capture ( agreement), sending out blood to your heart and also body.
  •  In atrial fibrillation, the signals in the  top chambers of the heart are  disorderly. The AV node is then  pounded with signals  attempting to get through to the lower heart chambers (ventricles). 

 

The heart  price in atrial fibrillation  might  vary from 100 to 175 beats a  min. The normal  variety for a heart  price is 60 to 100 beats a  min.

 Root causes of atrial fibrillation.
Problems with the heart’s structure are the most  usual  root cause of atrial fibrillation. Eco test for heart.  Feasible root causes of atrial fibrillation include:.

  • Coronary artery illness.
  • Cardiac arrest.
  • Heart defect that you’re born with (congenital heart defect).
  • Heart shutoff issues.
  • Hypertension.
  • Lung illness.
  • Physical anxiety because of surgical procedure, pneumonia or other health problems.
  • Previous heart surgical treatment.
  • Issue with the heart’s all natural pacemaker ( ill sinus disorder).
  • Sleep apnea.
  • Thyroid disease such as an over active thyroid (hyperthyroidism) and various other metabolic discrepancies.
  • Use of energizers, consisting of certain medications, caffeine, cigarette and alcohol.
  • Viral infections.

Some  individuals who have atrial fibrillation have no known heart  troubles or heart damage.

Threat aspects. Eco test for heart.
 Points that can  enhance the  danger of atrial fibrillation (A-fib) include:.

Age. The older a  individual is, the  higher the  danger of  creating atrial fibrillation.

Heart problem. Any person with heart problem– such as heart valve problems, congenital heart disease, heart disease, coronary artery condition, or a history of heart attack or heart surgical treatment– has an boosted risk of atrial fibrillation.

Hypertension. Having hypertension, particularly if it’s not well regulated with way of life adjustments or medications, can boost the danger of atrial fibrillation.

Thyroid condition. In some people, thyroid troubles may set off heart rhythm problems (arrhythmias), including atrial fibrillation.

Various other chronic health and wellness conditions. Individuals with certain chronic conditions such as diabetes, metabolic disorder, persistent kidney condition, lung disease or sleep apnea have actually an increased danger of atrial fibrillation.

Drinking alcohol. For some individuals, consuming alcohol can set off an episode of atrial fibrillation. Binge alcohol consumption further rises the risk.

Excessive weight.  Eco test for heart.  Individuals who have weight problems are at greater risk of developing atrial fibrillation.

Family history. An increased danger of atrial fibrillation takes place in some family members.

Problems.
 Embolism are a  unsafe  issue of atrial fibrillation that can  result in stroke.

In atrial fibrillation, the  disorderly heart rhythm can cause blood to  gather in the heart’s upper chambers ( room)  as well as  type clots. Eco test for heart.  If a embolism in the left upper chamber (left atrium) breaks without the heart location, it can travel to the brain and also cause a stroke.

The  threat of stroke from atrial fibrillation  raises as you grow older. Other health conditions  likewise may  boost your  threat of a stroke due to A-fib, including:.

  • High blood pressure.
  • Diabetes mellitus.
  • Heart failure.
  • Some valvular heart problem.
  • Blood  slimmers are  frequently  recommended to prevent blood clots  and also strokes in people with atrial fibrillation.

Prevention.
Healthy way of life choices can reduce the danger of heart disease as well as might avoid atrial fibrillation. Eco test for heart.  Below are some fundamental heart-healthy tips:

  • Consume a healthy diet.
  • Obtain normal workout and also maintain a healthy weight.
  • Don’t smoke.
    Prevent or restrict alcohol as well as high levels of caffeine.
  •  Handle  anxiety, as intense  anxiety  and also  rage can cause heart rhythm  issues.

 

Osteoporosis Risk – Eco Test For Heart

An ultrasound is  carried out to measure the shin bone for  uncommon bone mass  thickness. Eco test for heart.  This can aid assess the danger of osteoporosis, a illness where bones come to be weak and also brittle.

Weakening of bones causes bones to come to be weak and weak – so weak that a loss or even light tensions such as bending over or coughing can create a fracture. Osteoporosis-related cracks most frequently take place in the hip, wrist or spine.

Osteoporosis impacts males and females of all races. White and Asian females, specifically older women who are past menopause, are at greatest threat. Drugs, healthy diet plan and weight bearing exercise can assist stop bone loss or strengthen already weak bones.

 Signs.
There commonly are no signs in the beginning of bone loss. When your bones have actually been weakened by osteoporosis, you might have indications and signs and symptoms that include:

  • Neck and back pain, triggered by a broken or fell down vertebra.
  • Loss of elevation over time.
  • A stooped stance.
  • A bone that  damages  far more  conveniently than  anticipated.

Causes.
Comparing the interior of a healthy bone with one that  has actually  come to be  permeable from  weakening of bones.
Osteoporosis  damages bone.

 Just how  most likely you are to  create osteoporosis depends partly on  just how much bone mass you  obtained in your  young people. Peak bone mass is partly inherited  as well as varies also by ethnic group. The higher your  optimal bone mass, the more bone you have “in the bank” and the  much less likely you are to  establish  weakening of bones as you age.

 Threat  elements.
A number of aspects can raise the likelihood that you’ll create osteoporosis– including your age, race, way of living options, as well as clinical conditions and treatments. Eco test for heart.

Unchangeable  threats.
Some risk factors for weakening of bones are out of your control, including:

  • Your sex. Ladies are much more most likely to establish osteoporosis than are males.
  • Age. The older you obtain, the higher your threat of osteoporosis.
  • Race. You’re at greatest danger of osteoporosis if you’re white or of Asian descent.
  • Family history. Having a moms and dad or sibling with weakening of bones puts you at greater risk, especially if your mommy or dad fractured a hip.
  • Body framework size. Men and women that have little body structures often tend to have a higher danger because they might have much less bone mass to draw from as they age.
  • Hormone levels.

Weakening of bones is much more common in people who have too much or too little of certain hormonal agents in their bodies. Instances include:

Sex  hormonal agents.  Decreased sex hormone levels  often tend to  damage bone. The fall in estrogen levels in  females at menopause  is among the  toughest  danger factors for  establishing  weakening of bones.  Therapies for prostate  cancer cells that  minimize testosterone levels in  males  as well as  therapies for  bust cancer that reduce estrogen levels in  ladies are likely to  speed up bone loss. 

 Nutritional  variables.
 Weakening of bones is  more probable to occur in  individuals  that have:

Low calcium consumption. A long lasting absence of calcium contributes in the growth of osteoporosis. Low calcium intake contributes to reduced bone thickness, early bone loss and an boosted risk of fractures.

Eating disorders. Seriously limiting food consumption and also being undernourished damages bone in both males and females.

Long lasting use oral or injected corticosteroid drugs, such as prednisone and also cortisone, disrupts the bone-rebuilding procedure. Eco test for heart.  Osteoporosis has also been associated with drugs used to fight or prevent:

  • Seizures.
  • Stomach reflux.
  • Cancer.
  • Transplant being rejected.
  •  Clinical conditions.

The  danger of  weakening of bones is  greater in  individuals  that have  specific medical  troubles,  consisting of:.

  • Celiac disease.
  • Inflammatory bowel disease.
  • Kidney or liver illness.
  • Cancer.
  • Numerous myeloma.
  • Rheumatoid joint inflammation
  • Lifestyle  options.

Some bad habits can boost your danger of weakening of bones. Examples consist of:

Sedentary way of life. People that invest a lot of time sitting have a higher threat of osteoporosis than do those that are a lot more energetic. Any type of weight bearing exercise and also tasks that promote balance as well as good pose are helpful for your bones, however walking, running, jumping, dance and also weight-lifting appear specifically helpful.
 Too much alcohol consumption. Eco test for heart.  Normal intake of more than 2 alcoholic drinks a day increases the risk of weakening of bones.

Tobacco usage. The precise role tobacco plays in weakening of bones isn’t clear, but it has actually been shown that cigarette use adds to weak bones.

Problems.
 Just how  weakening of bones can cause vertebrae to crumple  and also collapse.
Compression fractures.

 Sometimes,  back  cracks can  take place even if you  have not fallen. The bones that make up your  spinal column (vertebrae) can  deteriorate to the point of  falling down, which can result in back pain, lost  elevation  and also a  stooped  ahead  pose.

 Avoidance.
 Great nutrition and regular exercise are  crucial for  maintaining your bones healthy throughout your life.

Calcium.
 Males and female between the ages of 18 and 50 need 1,000 milligrams of calcium a day. This  day-to-day amount  boosts to 1,200 milligrams when women  transform 50  as well as men turn 70.

Excellent resources of calcium include:

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

 

The Health  and also Medicine Division of the National Academies of Sciences, Engineering,  as well as Medicine  suggests that total calcium intake, from supplements  and also  diet plan  incorporated, should be no more than 2,000 milligrams daily for people older than 50.

Vitamin D.
Vitamin D  enhances the body’s ability to absorb calcium  and also improves bone  wellness in  various other  methods. Eco test for heart.  Individuals can get some of their vitamin D from sunlight, but this may not be a great resource if you reside in a high latitude, if you’re housebound, or if you routinely use sunscreen or stay clear of the sunlight as a result of the threat of skin cancer.

 Nutritional sources of vitamin D include cod liver oil, trout and salmon. Many  kinds of milk  and also  grain  have actually been fortified with vitamin D.

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

People without various other resources of vitamin D as well as specifically with minimal sun exposure could need a supplement. Most multivitamin items include in between 600 as well as 800 IU of vitamin D. Up to 4,000 IU of vitamin D a day is secure for the majority of people.

 Workout.
Exercise can help you construct solid bones as well as slow moving bone loss. Eco test for heart.  Exercise will certainly benefit your bones anytime you begin, yet you’ll gain one of the most advantages if you begin working out routinely when you’re young and also continue to exercise throughout your life.

Weight-bearing workouts– such as walking, running, running, staircase climbing, missing rope, winter sports and impact-producing sporting activities– influence mostly the bones in your legs, hips and also lower back. Balance exercises such as tai chi can minimize your danger of dropping specifically as you get older.

 

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