Heart Scans Chicago – Stroke Prevention Testing & Screening Near Me

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

 

 

Carotid Artery Disease – Heart Scans Chicago

An ultrasound is done to evaluate the carotid arteries (a pair of capillary in the neck that supplies blood to your mind) for the develop of fatty plaque. Heart scans chicago.  This accumulation, called atherosclerosis, is among the leading causes of stroke.

Carotid (kuh-ROT-id) ultrasound is a secure, painless procedure that utilizes sound waves to check out the blood circulation with the carotid arteries. Heart scans chicago.

Your two carotid arteries  lie on each side of your neck. They  provide blood from your heart to your brain.

Carotid ultrasound  examinations for  obstructed or narrowed carotid arteries, which can increase the risk of stroke. Heart scans chicago.  The outcomes can help your doctor identify a treatment to decrease your stroke threat.

Ischemic stroke. A carotid ultrasound is  done to  check for narrowed carotid arteries, which  raise the  danger of stroke.

Carotid arteries are typically tightened by a build-up of plaque – comprised of fat, cholesterol, calcium and other materials that distribute in the blood stream. Early medical diagnosis and also therapy of a narrowed carotid artery can reduce stroke risk.

Your doctor will certainly suggest carotid ultrasound if you have transient ischemic assaults (TIAs) or particular types of stroke and may suggest a carotid ultrasound if you have medical conditions that enhance the threat of stroke, including:

  • High blood pressure.
  • Diabetes mellitus.
  • High cholesterol.
  • Family history of stroke or cardiovascular disease
  • Current short-term ischemic strike (TIA) or stroke.
  • Abnormal audio in carotid arteries (bruit), discovered by your medical professional utilizing a stethoscope.
  • Coronary artery disease.

To screen for narrowed or obstructed capillary in various other locations of the body, you may need extra tests, consisting of:

 Stomach ultrasound. Heart scans chicago.  You might have an stomach ultrasound to check for problems affecting the blood vessels or body organs in your stomach area.

Ankle-brachial index examination. This test procedures as well as contrasts the blood pressure in between your ankle joint and your arm. The examination reveals decreased or obstructed blood flow to your legs.

Cardiac cardiovascular test. Heart scans chicago.  This test shows how well your heart does when under stress, such as during exercise. Results can indicate poor blood flow to the heart.

Heart scans chicago.  Your doctor may also purchase imaging tests to find coronary artery disease.

Other  uses carotid ultrasound.
Your doctor  might  buy a carotid ultrasound to:.

 Examine blood flow  with the artery after  surgical procedure to  eliminate plaques (carotid endarterectomy).

Assess the placement as well as performance of a stent, a mesh tube used to boost blood circulation with an artery.

Situate a collection of clotted blood (hematoma) that may stop blood circulation.

 Discover other carotid artery  irregularities that may  interrupt blood  circulation.

 

 

Peripheral Arterial Disease (PAD) – Heart Scans Chicago

Heart scans chicago.  An Ankle-Brachial Index (ABI) examination is executed making use of high blood pressure cuffs on the arms and legs. It is essential to evaluate for PAD due to the fact that it boosts the threat of coronary artery condition, cardiac arrest, or stroke.

 Outer artery disease ( additionally called peripheral arterial  illness) is a common condition in which  tightened arteries  decrease blood flow to the arms or legs.

In  outer artery disease (PAD), the legs or arms– usually the legs– don’t  obtain  sufficient blood flow to keep up with demand. Heart scans chicago.  This might trigger leg discomfort when strolling (claudication) and various other signs and symptoms.

Outer artery condition is generally a indicator of a build up of fatty deposits in the arteries (atherosclerosis). Atherosclerosis causes narrowing of the arteries that can lower blood flow in the legs as well as, in some cases, the arms.

Peripheral artery  condition treatment  consists of  working out,  consuming a healthy diet  and also not smoking or using  cigarette.

Symptoms.
 Lots of people with  outer artery  illness have  moderate or no symptoms. Some people have leg  discomfort when walking (claudication).

Claudication signs and symptoms include muscular tissue pain or cramping in the legs or arms that starts throughout workout and also finishes with remainder. Extreme leg discomfort may make it hard to walk or do other types of physical task.

 Various other  outer artery  illness symptoms may  consist of:

  • Coldness in the reduced leg or foot, specifically when compared to the opposite.
  • Leg numbness or weakness.
  • No pulse or a weak pulse in the legs or feet.
  • Agonizing cramping in one or both of the hips, upper legs or calf bone muscular tissues after particular tasks, such as strolling or climbing stairways.
  • Shiny skin on the legs. Heart scans chicago.
  • Skin shade adjustments on the legs.
  • Slower development of the toenails.
  • Sores on the toes, feet or legs that won’t {heal| recover,
  • Discomfort when making use of the arms, such as hurting and constraining when knitting, creating or doing other hands-on tasks.
  • Impotence.
  • Hair loss or slower hair growth on the legs.

If peripheral artery  condition  worsens,  discomfort may  take place  throughout rest or when  resting. The  discomfort  might  disturb sleep. Hanging the legs over the edge of the bed or walking  might  momentarily  alleviate the  discomfort.

Causes.
Growth of atherosclerosis. Heart scans chicago.  Outer artery illness is usually caused by a build-up of fatty, cholesterol-containing deposits (plaques) on artery wall surfaces. This procedure is called atherosclerosis. It reduces blood flow via the arteries.

Atherosclerosis  impacts arteries throughout the body. When it  happens in the arteries  providing blood to the limbs, it  creates peripheral artery  illness.

 Much less  typical  root causes of peripheral artery disease  consist of:

  • Blood vessel inflammation.
  • Injury to the arms or legs.
  • Adjustments in the muscle mass or tendons.
  • Radiation direct exposure.
  • Risk factors.
  •  Cigarette smoking or having diabetes  substantially  boosts the  danger of  establishing peripheral artery disease.

 

Other  points that  boost the  danger of peripheral artery  illness include:.

  • A family history of outer artery illness, heart disease or stroke.
  • High blood pressure.
  • High cholesterol. Heart scans chicago.
  • High levels of an amino acid called homocysteine, which enhance the risk for coronary artery disease.
  • Increasing age, particularly after 65 (or after 50 if you have risk elements for atherosclerosis).
  •  Weight problems (a body mass index over 30).

 

 Difficulties.
Difficulties of outer artery condition triggered by atherosclerosis consist of:

Heart scans chicago.   In this condition, an injury or infection  creates  cells to die.  Signs include open sores on the  arm or legs that  do not heal. 

Stroke as well as heart attack. Plaque accumulation in the arteries can additionally impact the capillary in the heart and also mind.

Prevention.
 The very best  means to prevent leg  discomfort  because of peripheral artery disease is to  keep a healthy  way of life.

That means:.

  • Do not smoke.
  • Control blood sugar.
  • Eat foods that are low in saturated fat.
  • Obtain routine workout – yet contact your treatment provider about what type as well as just how much is ideal for you.
  • Preserve a healthy weight
  •  Take care of blood pressure  as well as cholesterol.

 

Stomach Aortic Aneurysm (AAA) – Heart Scans Chicago

Heart scans chicago.  An ultrasound is done to evaluate the abdominal aorta for the visibility of an enlargement or aneurysm. AAA can result in a ruptured aortic artery, which is a significant clinical emergency.

An abdominal aortic aneurysm is an  bigger  location in the lower part of the  significant vessel that  provides blood to the body (aorta). Heart scans chicago.  The aorta ranges from the heart through the facility of the upper body and abdomen.

The aorta is the largest capillary in the body, so a burst abdominal aortic aneurysm can create life threatening blood loss.

 Depending upon the size of the aneurysm  as well as  just how  rapid it’s growing,  therapy varies from watchful waiting to  emergency situation surgery.

Symptoms.
  Stomach aortic aneurysms  usually grow slowly without  visible  signs and symptoms, making them  tough to  find. Some aneurysms never rupture. 

If you have an enlarging abdominal aortic aneurysm, you may notice:

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

 Reasons.
Aneurysms can develop anywhere along the aorta,  yet  a lot of aortic aneurysms  happen in the part of the aorta that’s in the  tummy  location ( abdominal area).

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

  • Solidifying of the arteries (atherosclerosis). Atherosclerosis occurs when fat and various other compounds build up on the lining of a blood vessel.
  • High blood pressure. Hypertension can damage and damage the aorta’s walls.
  •  Capillary  illness. These are  conditions that cause blood vessels to become  irritated.
    Infection in the aorta. Rarely, a microbial or fungal infection could create an abdominal aortic aneurysms.
  • Injury. Being harmed in a cars and truck mishap can create an stomach aortic aneurysms.
  • Risk  elements.

Abdominal aortic aneurysm danger aspects include:

Tobacco usage. Heart scans chicago.  Smoking cigarettes is the best danger aspect for aortic aneurysms. Smoking can damage the walls of the aorta, boosting the danger of aortic aneurysm and aneurysm tear. The longer and also more you smoke or chew cigarette, the better the chances of establishing an aortic aneurysm. Medical professionals advise a one-time stomach ultrasound to display for an stomach aortic aneurysm in men ages 65 to 75 who are current or previous cigarette smokers.

Age. Stomach aortic aneurysms take place usually in individuals age 65 and also older.

Being  man. Heart scans chicago.  Guy establish stomach aortic aneurysms a lot more typically than women do.
Being white. People  that are white are at  greater  danger of abdominal aortic aneurysms.

Family history. Having a family history of abdominal aortic aneurysms  enhances the  danger of having the  problem.

Other aneurysms. Having an aneurysm in  one more large blood vessel, such as the artery behind the knee or the aorta in the  upper body (thoracic aortic aneurysm),  could increase the risk of an  stomach aortic aneurysm.

Heart scans chicago.  If you’re at risk of an aortic aneurysm, your medical professional could advise other procedures, such as drugs to lower your blood pressure and also ease stress on weakened arteries.

 Problems.
Splits in several of the layers of the wall of the aorta (aortic dissection) or a burst aneurysm are the primary complications. A tear can cause dangerous inner blood loss. In general, the larger the aneurysm and also the quicker it grows, the better the risk of rupture.

Symptoms and signs that an aortic aneurysm has actually burst can include:

  • Unexpected, extreme as well as relentless stomach or pain in the back, which can be described as a tearing sensation.
  • Reduced blood pressure.
  • Quick pulse.
  • Aortic aneurysms  additionally  enhance the  danger of developing blood clots in the area. If a blood clot  break out from the  within wall of an aneurysm  and also blocks a blood vessel  somewhere else in your body, it can cause pain or block blood flow to the legs, toes, kidneys or  stomach  body organs.

 

Prevention.
To avoid an aortic aneurysm or keep an aortic aneurysm from intensifying, do the following:

  • Do not smoke or make use of cigarette products. Given up smoking cigarettes or eating tobacco and avoid secondhand smoke. If you need assistance stopping, speak to your doctor about medications and also treatments that may assist. Heart scans chicago.
  • Eat a healthy and balanced diet plan. Concentrate on eating a range of fruits and vegetables, whole grains, fowl, fish, as well as low-fat milk products. Prevent saturated and also trans fats as well as limitation salt.
  • Maintain your high blood pressure as well as cholesterol controlled. If your doctor has actually recommended medications, take them as instructed.
  •   Obtain  normal exercise.  Attempt to get at  the very least 150  mins a week of moderate aerobic activity. 

 

Atrial Fibrillation (AFib) – Heart Scans Chicago

A 6-lead electrocardiogram (EKG) is done by positioning sensing units on the arms as well as legs to evaluate for Atrial Fibrillation.  Heart scans chicago. AFib can bring about blood clots, stroke, as well as cardiac arrest, and various other heart-related issues.

Atrial fibrillation (A-fib) is an irregular and also typically really fast heart rhythm (arrhythmia) that can lead to embolism in the heart. A-fib increases the danger of stroke, cardiac arrest and other heart-related problems.

Throughout atrial fibrillation, the heart’s upper chambers (the atria) beat chaotically and also irregularly – out of sync with the lower chambers (the ventricles) of the heart. For many individuals, A-fib may have no symptoms. Heart scans chicago.  A-fib might trigger a quickly, pounding heart beat (palpitations), lack of breath or weakness.

Episodes of atrial fibrillation may come and go, or they may be relentless. Although A-fib itself normally isn’t serious, it’s a serious clinical condition that requires proper therapy to prevent stroke.

 Therapy for atrial fibrillation  might include  drugs,  treatment to reset the heart rhythm  and also catheter  treatments to block  malfunctioning heart signals.

A person with atrial fibrillation  might  additionally have a  relevant heart rhythm  trouble called atrial flutter.  Atrial flutter is a  various arrhythmia, the  therapy is  fairly  comparable to atrial fibrillation. 

 Signs and symptoms.
Some  individuals with atrial fibrillation (A-fib)  do not  see any  signs and symptoms. Heart scans chicago.  Those who do have atrial fibrillation signs might have symptoms and signs such as:.

  • Experiences of a quickly, fluttering or pounding heart beat (palpitations).
  • Chest discomfort.
  • Dizziness.
  • Exhaustion.
  • Impaired thinking.
  • Lowered capability to exercise.
  • Shortness of breath.
  •  Weak point.

 

Atrial fibrillation might be:

Periodic (paroxysmal atrial fibrillation). Some people with occasional A-fib requirement therapy.

Consistent. With this type of atrial fibrillation, the heart rhythm doesn’t return to normal by itself. If a individual has A-fib symptoms, cardioversion or treatment with medications might be utilized to bring back as well as keep a regular heart rhythm.

Long-standing consistent. This sort of atrial fibrillation is constant as well as lasts longer than 12 months.
Long term. Heart scans chicago.  In this type of atrial fibrillation, the uneven heart rhythm can’t be restored. Medications are required to regulate the heart price and to prevent blood clots.

Causes.
To understand the  root causes of A-fib, it may be  valuable to  recognize  just how the heart  normally beats.

The typical heart has 4 chambers – two upper chambers ( room) and two lower chambers (ventricles). It produces the signal that starts each heartbeat.

In a regular heart rhythm:

  • The signal travels from the sinus node via both top heart chambers ( room).
  • The signal goes through a pathway between the upper as well as lower chambers called the atrioventricular (AV) node.
  • The activity of the signal creates your heart to press ( agreement), sending 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  after that  pestered 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  regular  array for a heart  price is 60 to 100 beats a minute.

Causes of atrial fibrillation.
 Issues with the heart’s  framework are  one of the most  typical  root cause of atrial fibrillation. Heart scans chicago.  Possible sources of atrial fibrillation consist of:.

  • Coronary artery disease.
  • Heart attack.
  • Heart defect that you’re born with ( genetic heart flaw).
  • Heart shutoff issues.
  • High blood pressure.
  • Lung illness.
  • Physical stress and anxiety because of surgical procedure, pneumonia or other ailments.
  • Previous heart surgical treatment.
  • Issue with the heart’s all natural pacemaker ( unwell sinus disorder).
  • Sleep apnea.
  • Thyroid condition such as an overactive thyroid (hyperthyroidism) and also various other metabolic imbalances.
  • Use of stimulants, consisting of particular medicines, high levels of caffeine, cigarette as well as alcohol.
  • Viral infections.

Some  individuals  that have atrial fibrillation have no known heart problems or heart  damages.

Risk factors. Heart scans chicago.
Things that can  raise the  danger of atrial fibrillation (A-fib) include:.

Age. The older a person is, the  higher the  danger of developing atrial fibrillation.

Heart problem. Any individual with heart disease– such as heart shutoff troubles, congenital heart disease, congestive heart failure, coronary artery illness, or a history of cardiovascular disease or heart surgery– has an enhanced danger of atrial fibrillation.

Hypertension. Having high blood pressure, particularly if it’s not well managed with lifestyle modifications or medications, can enhance the risk of atrial fibrillation.

Thyroid condition. In some individuals, thyroid issues may cause heart rhythm problems (arrhythmias), including atrial fibrillation.

Other persistent health problems. People with specific persistent problems such as diabetes, metabolic syndrome, chronic kidney condition, lung disease or rest apnea have actually an enhanced risk of atrial fibrillation.

Drinking alcohol. For some people, consuming alcohol can activate an episode of atrial fibrillation. Binge alcohol consumption more rises the danger.

Obesity.  Heart scans chicago.  Individuals that have excessive weight go to greater risk of developing atrial fibrillation.

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

Issues.
Blood clots are a  hazardous  problem of atrial fibrillation that can  bring about stroke.

In atrial fibrillation, the chaotic heart rhythm can cause blood to  accumulate in the heart’s  top chambers (atria)  and also  type  embolisms. Heart scans chicago.  If a blood clot in the left upper chamber (left atrium) breaks free from the heart area, it can travel to the brain and create a stroke.

The  danger of stroke from atrial fibrillation  enhances as you  age. Other health  problems  likewise  might increase your  danger of a stroke  as a result of A-fib, including:.

  • Hypertension.
  • Diabetes mellitus.
  • Cardiac arrest.
  • Some valvular cardiovascular disease.
  • Blood thinners are  generally  recommended to prevent blood clots and strokes in people with atrial fibrillation.

 Avoidance.
Healthy lifestyle options can lower the danger of cardiovascular disease as well as may prevent atrial fibrillation. Heart scans chicago.  Right here are some basic heart-healthy tips:

  • Consume a nourishing diet plan.
  • Obtain normal workout and preserve a healthy weight.
  •  Do not smoke.
    Avoid or limit alcohol and also caffeine.
  •  Handle  tension, as  extreme  tension  as well as  rage can  create heart rhythm  troubles.

 

Weakening of bones Risk – Heart Scans Chicago

An ultrasound is  carried out to measure the shin bone for abnormal bone mass  thickness. Heart scans chicago.  This can assist assess the threat of weakening of bones, a disease where bones come to be weak and also weak.

Weakening of bones triggers bones to end up being weak as well as weak – so weak that a fall or perhaps moderate tensions such as bending over or coughing can trigger a crack. Osteoporosis-related fractures most typically occur in the hip, wrist or back.

Weakening of bones impacts males and females of all races. But white and also Asian females, especially older females that are previous menopause, go to highest possible danger. Drugs, healthy and balanced diet and also weight bearing workout can aid prevent bone loss or strengthen currently weak bones.

 Signs and symptoms.
There generally are no symptoms in the early stages of bone loss. When your bones have been damaged by osteoporosis, you may have indicators and signs that consist of:

  • Back pain, caused by a broken or fell down vertebra.
  • Loss of height over time.
  • A stooped stance.
  • A bone that  damages  a lot more easily than expected.

 Reasons.
Comparing the  inside of a healthy bone with one that  has actually  ended up being  permeable from osteoporosis.
 Weakening of bones  compromises bone.

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

 Danger  variables.
A number of variables can boost the possibility that you’ll establish weakening of bones– including your age, race, lifestyle choices, and clinical conditions as well as therapies. Heart scans chicago.

 Stable  threats.
Some danger variables for osteoporosis run out your control, including:

  • Your sex. Females are far more likely to establish weakening of bones than are men.
  • Age. The older you obtain, the better your threat of osteoporosis.
  • Race. You’re at biggest threat of weakening of bones if you’re white or of Asian descent.
  • Family history. Having a moms and dad or brother or sister with osteoporosis places you at better threat, specifically if your mommy or dad fractured a hip.
  • Body frame dimension. Men and women who have small body structures often tend to have a greater danger because they might have less bone mass to draw from as they age.
  • Hormone  degrees.

Weakening of bones is much more usual in individuals that have excessive or inadequate of specific hormones in their bodies. Examples include:

Sex hormones.  Decreased sex hormone  degrees tend to weaken bone. The fall in estrogen levels in women at menopause  is just one of the strongest  danger  elements for  creating osteoporosis.  Therapies for prostate cancer that  lower testosterone  degrees in  guys and  therapies for  bust cancer that  decrease estrogen levels in  ladies are  most likely to accelerate bone loss. 

Dietary  aspects.
Osteoporosis is  most likely to  happen in people who have:

Reduced calcium consumption. A lifelong absence of calcium plays a role in the development of weakening of bones. Low calcium intake contributes to decreased bone thickness, early bone loss and an raised danger of fractures.

Eating disorders. Significantly limiting food intake as well as being underweight damages bone in both males and females.

Long-term use dental or injected corticosteroid medications, such as prednisone as well as cortisone, disrupts the bone-rebuilding process. Heart scans chicago.  Osteoporosis has additionally been connected with medicines made use of to fight or prevent:

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

The risk of  weakening of bones is higher in people  that have  specific  clinical  issues,  consisting of:.

  • Gastric illness.
  • Inflammatory digestive tract disease.
  • Kidney or liver illness.
  • Cancer.
  • Multiple myeloma.
  • Rheumatoid arthritis
  •  Way of life choices.

Some bad habits can increase your threat of weakening of bones. Instances include:

Inactive way of living. Individuals who spend a great deal of time sitting have a higher threat of weakening of bones than do those who are more active. Any type of weight bearing exercise and also activities that advertise balance and excellent posture are useful for your bones, but walking, running, leaping, dance and weightlifting appear especially handy.
Excessive alcohol  intake. Heart scans chicago.  Normal consumption of greater than 2 alcoholic drinks a day boosts the threat of osteoporosis.

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

Problems.
 Exactly how osteoporosis can  trigger vertebrae to crumple  as well as collapse.
Compression fractures.

 Sometimes,  spine fractures can occur even if you haven’t fallen. The bones that  compose your  spinal column (vertebrae) can weaken to the point of  breaking down, which can result in back pain, lost  elevation  and also a hunched  ahead  stance.

Prevention.
 Excellent  nourishment  as well as  normal exercise are  crucial for keeping your bones healthy throughout your life.

Calcium.
 Males and female between the ages of 18  and also 50  demand 1,000 milligrams of calcium a day. This  day-to-day  quantity  raises to 1,200 milligrams when women turn 50 and  males turn 70.

Excellent sources of calcium include:

  • Low-fat dairy items.
  • Dark green leafy {vegetables| veggies
  • Tinned 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 Medicine  advises that  overall calcium intake, from supplements and  diet plan  incorporated, should be no more than 2,000 milligrams daily for  individuals older than 50.

Vitamin D.
Vitamin D  enhances the body’s ability to absorb calcium  and also  enhances bone  wellness in  various other  methods. Heart scans chicago.  Individuals can obtain several of their vitamin D from sunshine, yet this could not be a good resource if you reside in a high latitude, if you’re housebound, or if you frequently make use of sun block or avoid the sunlight due to the danger of skin cancer.

 Nutritional sources of vitamin D  consist of cod liver oil, trout  and also salmon.  Lots of  sorts of milk  as well as  grain have been  strengthened with vitamin D.

Most people  require  at the very least 600  worldwide  devices (IU) of vitamin D a day. That  suggestion  enhances to 800 IU a day after age 70.

People without other sources of vitamin D and also specifically with limited sunlight exposure might need a supplement. The majority of multivitamin items have between 600 and 800 IU of vitamin D. Up to 4,000 IU of vitamin D a day is safe for many people.

 Workout.
Exercise can aid you develop solid bones and slow bone loss. Heart scans chicago.  Workout will certainly profit your bones anytime you begin, yet you’ll acquire one of the most advantages if you begin working out routinely when you’re young and continue to work out throughout your life.

Incorporate toughness training workouts with weight-bearing and also equilibrium workouts. Toughness training helps enhance muscle mass and also bones in your arms as well as top spine. Weight-bearing workouts – such as strolling, running, running, staircase climbing, avoiding rope, winter sports as well as impact-producing sports– affect mostly the bones in your legs, hips and also reduced spine. Balance exercises such as tai chi can lower your risk of dropping especially as you age.

 

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