Stroke Prevention Exercise – 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 – Stroke Prevention Exercise

An ultrasound is done to screen the carotid arteries (a pair of capillary in the neck that provides blood to your brain) for the build up of fatty plaque. Stroke prevention exercise.  This build up, called atherosclerosis, is just one of the leading root causes 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 through the carotid arteries. Stroke prevention exercise.

Your  2 carotid arteries are located on each side of your neck. They  provide blood from your heart to your brain.

Carotid ultrasound tests for blocked or  tightened carotid arteries, which can increase the  threat of stroke. Stroke prevention exercise.  The results can assist your medical professional identify a treatment to decrease your stroke threat.

Ischemic stroke. A carotid ultrasound is  done to  evaluate for narrowed carotid arteries, which increase the  threat of stroke.

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

Your doctor will certainly advise carotid ultrasound if you have short term ischemic assaults (TIAs) or certain types of stroke and may suggest a carotid ultrasound if you have medical conditions that enhance the risk of stroke, including:

  • High blood pressure.
  • Diabetes mellitus.
  • High cholesterol.
  • Family history of stroke or heart problem
  • Current transient ischemic strike (TIA) or stroke.
  • Uncommon noise in carotid arteries (bruit), spoted by your doctor making use of a stethoscope.
  • Coronary artery disease.

To evaluate for narrowed or obstructed capillary in various other areas of the body, you might require added examinations, consisting of:

 Stomach ultrasound. Stroke prevention exercise.  You may have an stomach ultrasound to test for problems impacting the blood vessels or organs in your abdominal location.

Ankle-brachial index test. This test measures and also compares the high blood pressure between your ankle and also your arm. The examination shows decreased or obstructed blood circulation to your legs.

Cardiac cardiovascular test. Stroke prevention exercise.  This examination demonstrates how well your heart executes when under stress and anxiety, such as during exercise. Results can suggest bad blood flow to the heart.

Stroke prevention exercise.  Your physician may also purchase imaging examinations to detect coronary artery illness.

 Various other uses of carotid ultrasound.
Your  physician may  buy a carotid ultrasound to:.

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

Evaluate the positioning and also performance of a stent, a mesh tube utilized to enhance blood circulation through an artery.

Locate a collection of thickened blood (hematoma) that may stop blood circulation.

 Identify other carotid artery  irregularities that may  interfere with blood  circulation.



Outer Arterial Disease (PAD) – Stroke Prevention Exercise

Stroke prevention exercise.  An Ankle-Brachial Index (ABI) test is performed making use of blood pressure cuffs on the arms and legs. It is important to screen for PAD because it boosts the risk of coronary artery illness, heart attack, or stroke.

 Outer artery disease ( likewise called peripheral arterial  illness) is a  usual condition in which narrowed arteries reduce blood  circulation to the arms or legs.

In peripheral artery disease (PAD), the legs or arms–  typically the legs–  do not  get  sufficient blood flow to  stay up to date with  need. Stroke prevention exercise.  This may cause leg pain when strolling (claudication) and also other signs.

Outer artery illness is typically a indicator of a build up of fatty down payments in the arteries (atherosclerosis). Atherosclerosis triggers narrowing of the arteries that can minimize blood flow in the legs and also, in some cases, the arms.

Peripheral artery  illness  therapy  consists of exercising,  consuming a healthy diet and not  smoking cigarettes or  making use of tobacco.

 Lots of people with peripheral artery  illness have  light or no symptoms. Some  individuals have leg  discomfort when  strolling (claudication).

Claudication  signs include muscle  discomfort or cramping in the legs or arms that begins during  workout and  finishes with rest. Stroke prevention exercise.  The pain is most typically really felt in the calf. The pain ranges from light to severe. Severe leg pain might make it hard to stroll or do various other kinds of physical activity.

Other peripheral artery  condition  signs may include:

  • Coldness in the lower leg or foot, specifically when compared with the opposite.
  • Leg pins and needles or weakness.
  • No pulse or a weak pulse in the legs or feet.
  • Excruciating cramping in one or both of the hips, upper legs or calf muscular tissues after certain activities, such as strolling or climbing stairs.
  • Shiny skin on the legs. Stroke prevention exercise.
  • Skin color adjustments on the legs.
  • Slower development of the nails.
  • Sores on the toes, feet or legs that won’t {heal| recover,
  • Pain when using the arms, such as hurting as well as cramping when weaving, composing or doing other hands-on tasks.
  • Impotence.
  • Hair loss or slower hair growth on the legs.

If peripheral artery  illness  worsens, pain may occur  throughout  remainder or when  relaxing. The pain  might  disrupt  rest. Hanging the legs over the edge of the bed or walking may temporarily relieve the  discomfort.

Advancement of atherosclerosis. Stroke prevention exercise.  Peripheral artery disease is commonly triggered by a build-up of fatty, cholesterol-containing down payments (plaques) on artery wall surfaces. This procedure is called atherosclerosis. It reduces blood circulation with the arteries.

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

 Much less common  sources of peripheral artery  illness  consist of:

  • Blood vessel inflammation.
  • Injury to the arms or legs.
  • Modifications in the muscles or ligaments.
  • Radiation direct exposure.
  • Risk aspects.
  •  Cigarette smoking or having  diabetic issues  significantly  raises the  threat of  creating  outer artery disease.


Other things that  raise the risk of peripheral artery disease  consist of:.

  • A family history of peripheral artery condition, cardiovascular disease or stroke.
  • Hypertension.
  • High cholesterol. Stroke prevention exercise.
  • High levels of an amino acid called homocysteine, which increase the risk for coronary artery disease.
  • Boosting age, specifically after 65 (or after 50 if you have danger aspects for atherosclerosis).
  • Obesity (a body mass index over 30).


Issues of outer artery disease brought on by atherosclerosis include:

Stroke prevention exercise.   In this condition, an injury or infection  triggers tissue to  pass away.  Signs and symptoms include open sores on the limbs that don’t  recover. 

Stroke as well as cardiac arrest. Plaque buildup in the arteries can also impact the capillary in the heart and also brain.

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

That  suggests:.

  • Don’t smoke.
  • Control blood glucose.
  • Consume foods that are low in saturated fat.
  • Obtain routine exercise – yet check with your care company concerning what kind as well as just how much is finest for you.
  • Keep a healthy and balanced weight
  •  Handle blood pressure  as well as cholesterol.


Abdominal Aortic Aneurysm (AAA) – Stroke Prevention Exercise

Stroke prevention exercise.  An ultrasound is carried out to screen the stomach aorta for the existence of an augmentation or aneurysm. AAA can result in a ruptured aortic artery, which is a major medical emergency situation.

An  stomach aortic aneurysm is an enlarged  location in the lower part of the major vessel that supplies blood to the body (aorta). Stroke prevention exercise.  The aorta ranges from the heart with the facility of the chest as well as abdominal area.

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

 Relying on the  dimension of the aneurysm  and also  just how fast it’s growing, treatment varies from watchful waiting to emergency  surgical treatment.

 Abdominal aortic aneurysms often grow  gradually without  visible  signs, making them  challenging to  spot. Some aneurysms  never ever  burst. 

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

  • Deep, consistent pain in the stubborn belly area or side of the tummy ( abdominal area).
  • Neck and back pain.
  • A pulse near the belly button.

Aneurysms can  establish anywhere along the aorta,  however  a lot of aortic aneurysms  happen in the part of the aorta that’s in the  stomach area (abdomen).

Several points can contribute in the advancement of an stomach aortic aneurysm, consisting of:

  • Hardening of the arteries (atherosclerosis). Atherosclerosis takes place when fat as well as other compounds develop on the cellular lining of a capillary.
  • Hypertension. High blood pressure can harm as well as weaken the aorta’s walls.
  • Blood vessel  conditions. These are diseases that  create blood vessels to become  irritated.
    Infection in the aorta. Rarely, a microbial or fungal infection may cause an abdominal aortic aneurysms.
  • Trauma. Being injured in a vehicle crash can trigger an stomach aortic aneurysms.
  • Risk factors.

Abdominal aortic aneurysm risk factors include:

Smoking is the toughest danger variable for aortic aneurysms. Smoking cigarettes can weaken the walls of the aorta, enhancing the threat of aortic aneurysm as well as aneurysm tear.

Age. Abdominal aortic aneurysms occur frequently in people age 65 as well as older.

Being  man. Stroke prevention exercise.  Men establish abdominal aortic aneurysms a lot more usually than women do.
Being white. People  that are white are at higher risk of abdominal aortic aneurysms.

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

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

Stroke prevention exercise.  If you’re at danger of an aortic aneurysm, your doctor could suggest various other actions, such as medications to lower your high blood pressure as well as relieve stress on weakened arteries.

Rips in one or more of the layers of the wall surface of the aorta (aortic dissection) or a burst aneurysm are the primary problems. A rupture can cause deadly internal blood loss. Generally, the larger the aneurysm and also the faster it expands, the greater the risk of rupture.

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

  • Abrupt, extreme and consistent stomach or neck and back pain, which can be referred to as a tearing sensation.
  • Reduced high blood pressure.
  • Quick pulse.
  • Aortic aneurysms  likewise increase the risk of  creating  embolism in the area. If a blood clot breaks loose from the  within  wall surface of an aneurysm  as well as  obstructs a  capillary elsewhere in your body, it can  trigger pain or block blood  circulation to the legs, toes, kidneys or  stomach organs.


To stop an aortic aneurysm or maintain an aortic aneurysm from aggravating, do the following:

  • Don’t smoke or utilize tobacco products. Quit smoking or eating tobacco and avoid secondhand smoke. If you require help giving up, speak to your medical professional concerning drugs and also treatments that might aid. Stroke prevention exercise.
  • Consume a healthy diet regimen. Focus on consuming a variety of fruits and vegetables, entire grains, fowl, fish, and also low-fat milk items. Prevent saturated and also trans fats as well as restriction salt.
  • Keep your high blood pressure and cholesterol in control. If your medical professional has suggested drugs, take them as advised.
  •  Obtain regular  workout. Try to get at  the very least 150 minutes a week of  modest  cardio activity. If you haven’t been  energetic, start  gradually  as well as  develop. Talk to your doctor  concerning what  sort of  tasks are right for you. 


Atrial Fibrillation (AFib) – Stroke Prevention Exercise

A 6-lead electrocardiogram (EKG) is done by putting sensing units on the arms and legs to evaluate for Atrial Fibrillation.  Stroke prevention exercise. AFib can result in embolism, stroke, and heart failure, and also other heart-related issues.

Atrial fibrillation (A-fib) is an uneven and typically very quick heart rhythm (arrhythmia) that can lead to embolism in the heart. A-fib increases the danger of stroke, cardiac arrest and other heart-related difficulties.

Throughout atrial fibrillation, the heart’s top chambers (the room) beat chaotically as well as off-and-on – out of sync with the lower chambers (the ventricles) of the heart. For many individuals, A-fib may have no signs. Stroke prevention exercise.  Nonetheless, A-fib might create a quick, battering heart beat (palpitations), lack of breath or weakness.

Episodes of atrial fibrillation may come and go, or they might be relentless. A-fib itself typically isn’t serious, it’s a severe medical condition that requires appropriate treatment to prevent stroke.

Treatment for atrial fibrillation may  consist of  drugs, therapy to reset the heart rhythm  and also catheter  treatments to  obstruct faulty 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 treatment is quite similar to atrial fibrillation. 

 Signs and symptoms.
Some people with atrial fibrillation (A-fib) don’t  observe  any type of  signs and symptoms. Stroke prevention exercise.  Those that do have atrial fibrillation symptoms may have symptoms and signs such as:.

  • Sensations of a quickly, fluttering or battering heartbeat (palpitations).
  • Breast pain.
  • Wooziness.
  • Tiredness.
  • Impaired thinking.
  • Minimized ability to workout.
  • Lack of breath.
  •  Weak point.


Atrial fibrillation might be:

Occasional (paroxysmal atrial fibrillation). A-fib signs reoccur, generally lasting for a few minutes to hrs. Sometimes signs and symptoms occur for as long as a week as well as episodes can occur repeatedly. Some people with occasional A-fib need therapy.

Persistent. With this type of atrial fibrillation, the heart rhythm doesn’t return to regular on its own. If a individual has A-fib symptoms, cardioversion or therapy with drugs may be made use of to recover as well as maintain a typical heart rhythm.

Long-standing persistent. This kind of atrial fibrillation is constant and also lasts longer than 12 months.
Permanent. Stroke prevention exercise.  In this type of atrial fibrillation, the irregular heart rhythm can not be restored. Drugs are required to regulate the heart rate and to prevent blood clots.

To  comprehend the  root causes of A-fib, it may be  handy to know  just how the heart typically  defeats.

The typical heart has four chambers – 2 top chambers (atria) and 2 reduced chambers (ventricles). It produces the signal that starts each heart beat.

In a routine heart rhythm:

  • The signal travels from the sinus node via both upper heart chambers ( room).
  • The signal travels through a pathway between the upper and reduced chambers called the atrioventricular (AV) node.
  • The movement of the signal triggers your heart to capture (contract), sending out blood to your heart as well as body.
  •  In atrial fibrillation, the signals in the  top chambers of the heart are chaotic. The AV node is  after that bombarded with signals trying to get  with to the  reduced heart chambers (ventricles). 


The heart rate in atrial fibrillation  might range from 100 to 175 beats a minute. The normal  array for a heart rate is 60 to 100 beats a  min.

 Sources of atrial fibrillation.
 Issues with the heart’s structure are the most  typical  root cause of atrial fibrillation. Stroke prevention exercise.  Feasible reasons for atrial fibrillation consist of:.

  • Coronary artery illness.
  • Cardiovascular disease.
  • Heart flaw that you’re born with ( hereditary heart issue).
  • Heart valve problems.
  • Hypertension.
  • Lung diseases.
  • Physical stress as a result of surgical treatment, pneumonia or various other illnesses.
  • Previous heart surgical procedure.
  • Issue with the heart’s natural pacemaker ( unwell sinus disorder).
  • Sleep apnea.
  • Thyroid illness such as an over active thyroid (hyperthyroidism) and also other metabolic discrepancies.
  • Use stimulants, including certain drugs, caffeine, cigarette and also alcohol.
  • Viral infections.

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

Threat variables. Stroke prevention exercise.
 Points that can  raise the  danger of atrial fibrillation (A-fib) include:.

Age. The older a  individual is, the  better the  threat of  creating atrial fibrillation.

Heart problem. Any person with heart problem– such as heart shutoff issues, congenital heart disease, heart disease, coronary artery illness, or a background of cardiovascular disease or heart surgical procedure– has an enhanced risk of atrial fibrillation.

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

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

Other chronic health and wellness conditions. Individuals with particular persistent problems such as diabetes, metabolic syndrome, chronic kidney illness, lung disease or sleep apnea have an boosted threat of atrial fibrillation.

Drinking alcohol. For some individuals, consuming alcohol can activate an episode of atrial fibrillation. Binge drinking additional increases the threat.

Obesity.  Stroke prevention exercise.  People who have weight problems go to greater danger of establishing atrial fibrillation.

Family history. An enhanced danger of atrial fibrillation happens in some households.

Blood clots are a  hazardous  difficulty of atrial fibrillation that can  result in stroke.

In atrial fibrillation, the chaotic heart rhythm can  create blood to  gather in the heart’s  top chambers ( room)  as well as  type clots. Stroke prevention exercise.  If a embolism in the left top chamber (left atrium) breaks devoid of the heart location, it can travel to the brain and also trigger a stroke.

The  danger of stroke from atrial fibrillation  raises as you  get older. Other  health and wellness  problems  additionally may  enhance your  danger of a stroke  as a result of A-fib, including:.

  • Hypertension.
  • Diabetes.
  • Cardiac arrest.
  • Some valvular cardiovascular disease.
  • Blood  slimmers are  frequently prescribed to prevent blood clots and strokes in  individuals with atrial fibrillation.

Healthy way of life options can decrease the risk of heart problem as well as may protect against atrial fibrillation. Stroke prevention exercise.  Below are some fundamental heart-healthy pointers:

  • Eat a nutritious diet plan.
  • Get regular workout as well as keep a healthy and balanced weight.
  •  Do not smoke.
    Stay clear of or limit alcohol and high levels of caffeine.
  • Manage stress, as intense stress and  rage can  trigger heart rhythm  troubles.


Osteoporosis Risk – Stroke Prevention Exercise

An ultrasound is performed to  determine the shin bone for  irregular bone mass  thickness. Stroke prevention exercise.  This can aid analyze the threat of weakening of bones, a disease where bones come to be weak and also fragile.

Osteoporosis triggers bones to end up being weak and weak – so fragile that a fall and even moderate stress and anxieties such as flexing over or coughing can trigger a fracture. Osteoporosis-related cracks most generally occur in the hip, wrist or spine.

Weakening of bones affects men and women of all races. Yet white as well as Asian ladies, particularly older ladies that are past menopause, go to highest possible danger. Drugs, healthy and balanced diet regimen as well as weight bearing workout can assist stop bone loss or enhance already weak bones.

There usually are no signs and symptoms in the onset of bone loss. As soon as your bones have been compromised by weakening of bones, you might have indications and also signs that include:

  • Neck and back pain, caused by a broken or fell down vertebra.
  • Loss of height in time.
  • A stooped posture.
  • A bone that  damages  a lot more easily than expected.

 Contrasting the interior of a  healthy and balanced bone with one that  has actually  come to be porous from  weakening of bones.
Osteoporosis weakens bone.

How likely you are to  create osteoporosis depends  partially on how much bone mass you  achieved in your youth. Peak bone mass is  partially  acquired and varies  additionally by ethnic group. The higher your  top bone mass, the more bone you have “in the  financial institution” and the  much less likely you are to develop osteoporosis as you age.

Risk  aspects.
A number of variables can enhance the possibility that you’ll develop weakening of bones– including your age, race, way of living choices, and also clinical problems as well as treatments. Stroke prevention exercise.

 Stable  dangers.
Some danger aspects for weakening of bones are out of your control, consisting of:

  • Your sex. Ladies are a lot more most likely to develop weakening of bones than are guys.
  • Age. The older you obtain, the better your risk of osteoporosis.
  • Race. You’re at biggest danger of osteoporosis if you’re white or of Asian descent.
  • Family history. Having a moms and dad or sibling with osteoporosis places you at higher threat, especially if your mother or papa fractured a hip.
  • Body framework size. Males and female who have small body frames often tend to have a greater risk since they may have less bone mass to draw from as they age.
  • Hormone levels.

Weakening of bones is extra typical in people who have way too much or insufficient of particular hormonal agents in their bodies. Instances include:

Sex hormones.  Reduced sex hormone levels tend to weaken bone. The fall in estrogen  degrees in  females at menopause  is among the  greatest  danger  aspects for  creating osteoporosis.  Therapies for prostate  cancer cells that  minimize testosterone  degrees in  males  and also  therapies for breast  cancer cells that  lower estrogen  degrees in  females are  most likely to  increase bone loss. 

Dietary  variables.
 Weakening of bones is  most likely to  take place in people  that have:

Low calcium consumption. A long lasting lack of calcium plays a role in the advancement of weakening of bones. Low calcium intake contributes to lessened bone thickness, very early bone loss and also an enhanced threat of cracks.

Eating disorders. Severely restricting food intake as well as being underweight damages bone in both men and women.

Long-term use of dental or infused corticosteroid drugs, such as prednisone and also cortisone, interferes with the bone-rebuilding procedure. Stroke prevention exercise.  Osteoporosis has additionally been connected with drugs made use of to combat or protect against:

  • Seizures.
  • Stomach reflux.
  • Cancer cells.
  • Transplant being rejected.
  • Medical conditions.

The  threat of  weakening of bones is  greater in  individuals  that have  specific  clinical  issues, including:.

  • Celiac illness.
  • Inflammatory digestive tract disease.
  • Kidney or liver disease.
  • Cancer.
  • Numerous myeloma.
  • Rheumatoid arthritis
  •  Way of living  options.

Some bad habits can raise your risk of osteoporosis. Instances consist of:

Inactive lifestyle. Individuals who invest a lot of time resting have a higher risk of osteoporosis than do those who are a lot more active. Any type of weight bearing exercise as well as activities that promote equilibrium and also excellent stance are helpful for your bones, however strolling, running, leaping, dance and also weight training appear specifically handy.
Excessive alcohol  usage. Stroke prevention exercise.  Normal consumption of greater than two alcohols a day raises the threat of weakening of bones.

Cigarette usage. The exact role cigarette plays in osteoporosis isn’t clear, but it has actually been revealed that cigarette usage contributes to weak bones.

How osteoporosis can cause vertebrae to crumple  and also collapse.
Compression fractures.

 In many cases,  back fractures can occur even if you haven’t  dropped. The bones that  comprise your spine (vertebrae) can weaken to the point of collapsing, which can result in  pain in the back,  shed  elevation and a hunched forward  position.

Good  nourishment and  normal exercise are  crucial for  maintaining your bones  healthy and balanced throughout your life.

 Males and female  in between the ages of 18  and also 50  requirement 1,000 milligrams of calcium a day. This  day-to-day  quantity  raises to 1,200 milligrams when  females turn 50  as well as  males turn 70.

Excellent resources of calcium include:

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


The Health and Medicine Division of the National Academies of Sciences, Engineering,  and also Medicine recommends that  complete calcium intake, from supplements and diet  integrated, should  disappear than 2,000 milligrams daily for  individuals older than 50.

Vitamin D.
Vitamin D improves the body’s  capacity to  soak up calcium  as well as  enhances bone  wellness in other ways. Stroke prevention exercise.  People can obtain a few of their vitamin D from sunlight, however this might not be a great resource if you reside in a high latitude, if you’re housebound, or if you frequently use sun block or prevent the sunlight because of the risk of skin cancer.

Dietary  resources of vitamin D include cod liver oil, trout  as well as salmon. Many  sorts of milk  and also  grain have been fortified with vitamin D.

Most people  require  a minimum of 600 international  systems (IU) of vitamin D a day. That  suggestion  enhances to 800 IU a day after age 70.

Individuals without other sources of vitamin D and particularly with restricted sunlight direct exposure could need a supplement. A lot of multivitamin items include between 600 as well as 800 IU of vitamin D. Up to 4,000 IU of vitamin D a day is risk free for the majority of people.

Workout can aid you construct solid bones and slow bone loss. Stroke prevention exercise.  Exercise will certainly profit your bones no matter when you begin, yet you’ll acquire the most benefits if you start exercising routinely when you’re young and also continue to exercise throughout your life.

Integrate strength training exercises with weight-bearing and also equilibrium workouts. Toughness training helps reinforce muscles and bones in your arms and upper spine. Weight-bearing workouts – such as walking, jogging, running, staircase climbing, skipping rope, snowboarding and also impact-producing sporting activities– impact mostly the bones in your legs, hips and lower back. Balance exercises such as tai chi can lower your risk of dropping especially as you get older.


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