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I’ve recovered from a cold but I still have a hoarse voice. What should I do?

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/yeptain-leung-1563747">Yeptain Leung</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>Cold, flu, COVID and <a href="https://theconversation.com/rsv-is-everywhere-right-now-what-parents-need-to-know-about-respiratory-syncytial-virus-208855">RSV</a> have been <a href="https://www.abc.net.au/news/2024-06-21/flu-whooping-cough-rsv-cases-up-as-covid-cases-unkown/104002964">circulating across Australia this winter</a>. Many of us have caught and recovered from <a href="https://theconversation.com/i-feel-sick-how-do-i-know-if-i-have-the-flu-covid-rsv-or-something-else-234266">one of these</a> common upper respiratory tract infections.</p> <p>But for some people their impact is ongoing. Even if your throat isn’t <a href="https://theconversation.com/sore-throats-suck-do-throat-lozenges-help-at-all-184454">sore</a> anymore, your voice may still be hoarse or croaky.</p> <p>So what happens to the voice when we get a virus? And what happens after?</p> <p>Here’s what you should know if your voice is still hoarse for days – or even weeks – after your other symptoms have resolved.</p> <h2>Why does my voice get croaky during a cold?</h2> <p>A healthy voice is normally clear and strong. It’s powered by the lungs, which push air past the vocal cords to make them vibrate. These vibrations are amplified in the throat and mouth, creating the voice we hear.</p> <p>The vocal cords are two elastic muscles situated in your throat, around the level of your laryngeal prominence, or Adam’s apple. (Although everyone has one, it tends to be more pronounced in males.) The vocal cords are small and delicate – around the size of your fingernail. Any small change in their structure will affect how the voice sounds.</p> <p>When the vocal cords become inflamed – known as laryngitis – your voice will sound different. Laryngitis is a common part of upper respiratory tract infections, but can also be caused through misuse.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=366&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=366&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=366&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=460&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=460&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/614706/original/file-20240821-17-nzg1mc.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=460&amp;fit=crop&amp;dpr=3 2262w" alt="Two drawn circles comparing normal vocal cords with inflamed, red vocal cords." /><figcaption><span class="caption">Viruses such as the common cold can inflame the vocal cords.</span> <span class="attribution"><a class="source" href="https://www.shutterstock.com/image-vector/dry-sore-loss-cough-virus-viral-1821458117">Pepermpron/Shutterstock</a></span></figcaption></figure> <p>Catching a virus triggers the body’s defence mechanisms. White blood cells are recruited to kill the virus and heal the tissues in the vocal cords. They become inflamed, but also stiffer. It’s harder for them to vibrate, so the voice comes out hoarse and croaky.</p> <p>In some instances, you may find it hard to speak in a loud voice or have a reduced pitch range, meaning you can’t go as high or loud as normal. You may even “lose” your voice altogether.</p> <p>Coughing can also make things worse. It is the body’s way of trying to clear the airways of irritation, including your own mucus dripping onto your throat (<a href="https://www.health.harvard.edu/staying-healthy/treatments-for-post-nasal-drip">post-nasal drip</a>). But coughing slams the vocal cords together with force.</p> <p>Chronic coughing can lead to persistent inflammation and even thicken the vocal cords. This thickening is the body trying to protect itself, similar to developing a callus when a pair of new shoes rubs.</p> <p>Thickening on your vocal cords can lead to physical changes in the vocal cords – such as developing a growth or “nodule” – and further deterioration of your voice quality.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=376&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=376&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=376&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=473&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=473&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/614707/original/file-20240821-21-vizs73.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=473&amp;fit=crop&amp;dpr=3 2262w" alt="Diagram compares healthy vocal cords with cords that have nodules, two small bumps." /><figcaption><span class="caption">Coughing and exertion can cause inflamed vocal cords to thicken and develop nodules.</span> <span class="attribution"><a class="source" href="https://www.shutterstock.com/image-vector/dry-sore-loss-cough-virus-viral-1821458126">Pepermpron/Shutterstock</a></span></figcaption></figure> <h2>How can you care for your voice during infection?</h2> <p>People who use their voices a lot professionally – such as teachers, call centre workers and singers – are often desperate to resume their vocal activities. They are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7478078/">more at risk</a> of forcing their voice before it’s ready.</p> <p>The good news is most viral infections resolve themselves. Your voice is usually restored within five to ten days of recovering from a cold.</p> <p>Occasionally, your pharmacist or doctor may prescribe cough suppressants to limit additional damage to the vocal cords (among other reasons) or mucolytics, which break down mucus. But the most effective treatments for viral upper respiratory tract infections are hydration and rest.</p> <p>Drink plenty of water, avoid alcohol and exposure to cigarette smoke. <a href="https://www.healthdirect.gov.au/laryngitis#:%7E:text=You%20can%20help%20your%20voice%20recover%20by%3A%201,avoid%20nasal%20decongestants%20%28these%20make%20your%20throat%20drier%29">Inhaling steam</a> by making yourself a cup of hot water will also help clear blocked noses and hydrate your vocal cords.</p> <p>Rest your voice by talking as little as possible. If you do need to talk, don’t whisper – this <a href="https://www.sciencedirect.com/science/article/abs/pii/S0892199704001730">strains the muscles</a>.</p> <p>Instead, consider using “<a href="https://www.instagram.com/reel/C0d-oNIMM1y/">confidential voice</a>”. This is a soft voice – not a whisper – that gently vibrates your vocal cords but puts less strain on your voice than normal speech. Think of the voice you use when communicating with someone close by.</p> <p>During the first five to ten days of your infection, it is important not to push through. Exerting the voice by talking a lot or loudly will only exacerbate the situation. Once you’ve recovered from your cold, you can speak as you would normally.</p> <h2>What should you do if your voice is still hoarse after recovery?</h2> <p>If your voice hasn’t returned to normal after <a href="https://www.healthdirect.gov.au/laryngitis">two to three weeks</a>, you should seek medical attention from your doctor, who may refer you to an ear nose and throat specialist.</p> <p>If you’ve developed a nodule, the specialist would likely refer you to a speech pathologist who will show you how to take care of your voice. Many nodules can be <a href="https://britishvoiceassociation.org.uk/voicecare_vocal-nodules.htm">treated</a> with voice therapy and don’t require surgery.</p> <p>You may have also developed a habit of straining your vocal cords, if you forced yourself to speak or sing while they were inflamed. This can be a reason why some people continue to have a hoarse voice even when they’ve recovered from the cold.</p> <p>In those cases, a speech pathologist may play a valuable role. They may teach you to exercises that make voicing more efficient. For example, <a href="https://www.youtube.com/watch?v=fwNPp-RS4IY">lip trills</a> (blowing raspberries) are a fun and easy way you can learn to relax the voice. This can help break the habit of straining your voice you may have developed during infection.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/236398/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/yeptain-leung-1563747">Yeptain Leung</a>, Postdoctoral Research and Lecturer of Speech Pathology, School of Health Sciences, <em><a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/ive-recovered-from-a-cold-but-i-still-have-a-hoarse-voice-what-should-i-do-236398">original article</a>.</p> </div>

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What’s the difference between ‘strep throat’ and a sore throat? We’re developing a vaccine for one of them

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/kim-davis-1535254">Kim Davis</a>, <a href="https://theconversation.com/institutions/murdoch-childrens-research-institute-1027">Murdoch Children's Research Institute</a>; <a href="https://theconversation.com/profiles/alma-fulurija-1535255">Alma Fulurija</a>, <a href="https://theconversation.com/institutions/telethon-kids-institute-1608">Telethon Kids Institute</a>, and <a href="https://theconversation.com/profiles/myra-hardy-1535253">Myra Hardy</a>, <a href="https://theconversation.com/institutions/murdoch-childrens-research-institute-1027">Murdoch Children's Research Institute</a></em></p> <p>the time of the year for coughs, colds and sore throats. So you might have heard people talk about having a “strep throat”.</p> <p>But what is that? Is it just a bad sore throat that goes away by itself in a day or two? Should you be worried?</p> <p>Here’s what we know about the similarities and differences between strep throat and a sore throat, and why they matter.</p> <h2>How are they similar?</h2> <p>It’s difficult to tell the difference between a sore throat and strep throat as they look and feel similar.</p> <p>People usually have a fever, a bright red throat and sometimes painful lumps in the neck (swollen lymph nodes). A throat swab can help diagnose strep throat, but the results can take a few days.</p> <p>Thankfully, both types of sore throat usually get better <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8655103/">by themselves</a>.</p> <h2>How are they different?</h2> <p>Most sore throats are caused by viruses such as common cold viruses, the flu (influenza virus), or the virus that causes glandular fever (Epstein-Barr virus).</p> <p>These viral sore throats can occur at any age. Antibiotics don’t work against viruses so if you have a viral sore throat, you won’t get better faster if you take antibiotics. You might even have some unwanted <a href="https://www.ncbi.nlm.nih.gov/books/NBK401243/#:%7E:text=People%20may%20then%20wonder%20whether,infection%2C%20such%20as%20bacterial%20tonsillitis.">antibiotic side-effects</a>.</p> <p>But strep throat is caused by <em>Streptococcus pyogenes</em> bacteria, also known as strep A. Strep throat is most common in <a href="https://www.tandfonline.com/doi/full/10.2217/fmb-2021-0077">school-aged children</a>, but can affect other age groups. In some cases, you may need antibiotics to avoid some rare but serious complications.</p> <p>In fact, the potential for complications is one key difference between a viral sore throat and strep throat.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=405&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=405&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=405&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=508&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=508&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/605956/original/file-20240710-19-irooun.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=508&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption></figcaption></figure> <p>Generally, a viral sore throat is <a href="https://www.bmj.com/content/347/bmj.f6867">very unlikely</a> to cause complications (one exception is those caused by Epstein-Barr virus which has been associated with illnesses such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3893202/">chronic fatigue syndrome</a>, <a href="https://www.science.org/doi/10.1126/science.abj8222">multiple sclerosis</a> and certain <a href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00404-7/fulltext">cancers</a>).</p> <p>But strep A can cause invasive disease, a rare but serious complication. This is when bacteria living somewhere on the body (usually the skin or throat) get into another part of the body where there shouldn’t be bacteria, such as the bloodstream. This can make people extremely sick.</p> <p>Invasive strep A infections and deaths have been <a href="https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON429">rising in recent years</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10786649/">around the world</a>, especially in young children and older adults. This may be due to a number of factors such as increased social mixing at this stage of the COVID pandemic and an increase in circulating common cold viruses. But overall the reasons behind the increase in invasive strep A infections are not clear.</p> <p>Another rare but serious side effect of strep A is autoimmune disease. This is when the body’s immune system makes antibodies that react against its own cells.</p> <p>The most common example is <a href="https://www.who.int/news-room/fact-sheets/detail/rheumatic-heart-disease">rheumatic heart disease</a>. This is when the body’s immune system damages the heart valves a few weeks or months after a strep throat or skin infection.</p> <p><a href="https://www.nejm.org/doi/10.1056/NEJMoa2102074?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed">Around the world</a> more than 40 million people live with rheumatic heart disease and more than 300,000 die from its complications every year, mostly in developing countries.</p> <p>However, parts of Australia have some of the <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50682">highest rates</a> of rheumatic heart disease in the world. <a href="https://www.aihw.gov.au/reports/heart-stroke-vascular-diseases/hsvd-facts/contents/all-heart-stroke-and-vascular-disease/arf-and-rhd">More than 5,300</a> Indigenous Australians live with it.</p> <h2>Why do some people get sicker than others?</h2> <p>We know strep A infections and rheumatic heart disease <a href="https://link.springer.com/chapter/10.1007/82_2012_280">are more common</a> in low socioeconomic communities where poverty and overcrowding lead to increased strep A transmission and disease.</p> <p>However, we don’t fully understand why some people only get a mild infection with strep throat while others get very sick with invasive disease.</p> <p>We also don’t understand why some people get rheumatic heart disease after strep A infections when most others don’t. Our research team is trying to find out.</p> <h2>How about a vaccine for strep A?</h2> <p>There is no strep A vaccine but <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028081/">many</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8545125/">groups</a> in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6495378/">Australia</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7902606/">New Zealand</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3620221/">and</a> <a href="https://www.clinicalkey.com.au/#!/content/playContent/1-s2.0-S0264410X19316457?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0264410X19316457%3Fshowall%3Dtrue&amp;referrer=https:%2F%2Fpubmed.ncbi.nlm.nih.gov%2F">worldwide</a> are working towards one.</p> <p>For instance, Murdoch Children’s Research Institute and Telethon Kids Institute have formed the <a href="https://www.asavi.org.au">Australian Strep A Vaccine Initiative</a> to develop strep A vaccines. There’s also a <a href="https://savac.ivi.int/">global consortium</a> working towards the same goal.</p> <p>Companies such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10747066/">Vaxcyte</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7696035/">GlaxoSmithKline</a> have also been developing strep A vaccines.</p> <h2>What if I have a sore throat?</h2> <p>Most sore throats will get better by themselves. But if yours doesn’t get better in a few days or you have ongoing fever, see your GP.</p> <p>Your GP can examine you, consider running some tests and help you decide if you need antibiotics.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/230292/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/kim-davis-1535254">Kim Davis</a>, General paediatrician and paediatric infectious diseases specialist, <a href="https://theconversation.com/institutions/murdoch-childrens-research-institute-1027">Murdoch Children's Research Institute</a>; <a href="https://theconversation.com/profiles/alma-fulurija-1535255">Alma Fulurija</a>, Immunologist and the Australian Strep A Vaccine Initiative project lead, <a href="https://theconversation.com/institutions/telethon-kids-institute-1608">Telethon Kids Institute</a>, and <a href="https://theconversation.com/profiles/myra-hardy-1535253">Myra Hardy</a>, Postdoctoral Researcher, Infection, Immunity and Global Health, <a href="https://theconversation.com/institutions/murdoch-childrens-research-institute-1027">Murdoch Children's Research Institute</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-the-difference-between-strep-throat-and-a-sore-throat-were-developing-a-vaccine-for-one-of-them-230292">original article</a>.</em></p> </div>

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Why are my muscles sore after exercise? Hint: it’s nothing to do with lactic acid

<p><em><a href="https://theconversation.com/profiles/robert-andrew-robergs-435390">Robert Andrew Robergs</a>, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a> and <a href="https://theconversation.com/profiles/samuel-l-torrens-1476404">Samuel L. Torrens</a>, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a></em></p> <p>As many of us hit the gym or go for a run to recover from the silly season, you might notice a bit of extra muscle soreness.</p> <p>This is especially true if it has been a while between workouts.</p> <p>A common misunderstanding is that such soreness is due to lactic acid build-up in the muscles.</p> <p>Research, however, shows lactic acid has <a href="https://journals.physiology.org/doi/full/10.1152/physiol.00033.2017">nothing to do with it</a>. The truth is far more interesting, but also a bit more complex.</p> <h2>It’s not lactic acid</h2> <p>We’ve known for decades that lactic acid has <a href="https://pubmed.ncbi.nlm.nih.gov/27409551/">nothing to do with</a> muscle soreness after exercise.</p> <p>In fact, as one of us (Robert Andrew Robergs) has long <a href="https://journals.physiology.org/doi/full/10.1152/ajpregu.00114.2004">argued</a>, cells produce lactate, not lactic acid. This process actually <a href="https://journals.physiology.org/doi/full/10.1152/physiol.00033.2017">opposes</a> not causes the build-up of acid in the muscles and bloodstream.</p> <p>Unfortunately, historical inertia means people still use the term “lactic acid” in relation to exercise.</p> <p>Lactate <a href="https://www.science.org/doi/10.1126/science.1101141">doesn’t cause major problems</a> for the muscles you use when you exercise. You’d probably be <a href="https://journals.physiology.org/doi/full/10.1152/ajpregu.00114.2004?url_ver=Z39.88-2003&amp;rfr_id=ori%3Arid%3Acrossref.org&amp;rfr_dat=cr_pub++0pubmed&amp;">worse off</a> without it due to other benefits to your working muscles.</p> <p>Lactate isn’t the reason you’re sore a few days after upping your weights or exercising after a long break.</p> <p>So, if it’s not lactic acid and it’s not lactate, what is causing all that muscle soreness?</p> <h2>Muscle pain during and after exercise</h2> <p>When you exercise, a lot of chemical reactions occur in your muscle cells. All these chemical reactions accumulate products and by-products which cause water to enter into the cells.</p> <p>That causes the pressure inside and between muscle cells to increase.</p> <p>This pressure, combined with the movement of molecules from the muscle cells can stimulate nerve endings and cause <a href="https://www.sportsmed.theclinics.com/article/S0278-5919(11)00099-8/fulltext">discomfort</a> during exercise.</p> <p>The pain and discomfort you sometimes feel hours to days after an unfamiliar type or amount of exercise has a different list of causes.</p> <p>If you exercise beyond your usual level or routine, you can cause microscopic damage to your muscles and their connections to tendons.</p> <p>Such damage causes the release of ions and other molecules from the muscles, causing localised swelling and stimulation of nerve endings.</p> <p>This is sometimes known as “<a href="https://www.sportsmed.theclinics.com/article/S0278-5919(11)00099-8/fulltext">delayed onset muscle soreness</a>” or DOMS.</p> <p>While the damage occurs during the exercise, the resulting response to the injury builds over the next one to two days (longer if the damage is severe). This can sometimes cause pain and difficulty with normal movement.</p> <h2>The upshot</h2> <p>Research is clear; the discomfort from delayed onset muscle soreness has nothing to do with <a href="https://scholar.google.com/citations?user=UVjRNSUAAAAJ&amp;view_op=view_citation&amp;citation_for_view=UVjRNSUAAAAJ:J_g5lzvAfSwC">lactate</a> or <a href="https://journals.physiology.org/doi/full/10.1152/physiol.00033.2017">lactic acid</a>.</p> <p>The good news, though, is that your muscles adapt rapidly to the activity that would initially cause delayed onset muscle soreness.</p> <p>So, assuming you don’t wait too long (more than roughly two weeks) before being active again, the next time you do the same activity there will be much less damage and discomfort.</p> <p>If you have an exercise goal (such as doing a particular hike or completing a half-marathon), ensure it is realistic and that you can work up to it by training over several months.</p> <p>Such training will gradually build the muscle adaptations necessary to prevent delayed onset muscle soreness. And being less wrecked by exercise makes it more enjoyable and more easy to stick to a routine or habit.</p> <p>Finally, remove “lactic acid” from your exercise vocabulary. Its supposed role in muscle soreness is a myth that’s hung around far too long already.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/214638/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/robert-andrew-robergs-435390"><em>Robert Andrew Robergs</em></a><em>, Associate Professor - Exercise Physiology, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a> and <a href="https://theconversation.com/profiles/samuel-l-torrens-1476404">Samuel L. Torrens</a>, PhD Candidate, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-are-my-muscles-sore-after-exercise-hint-its-nothing-to-do-with-lactic-acid-214638">original article</a>.</em></p>

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Why does my back get so sore when I’m sick? The connection between immunity and pain

<p><em><a href="https://theconversation.com/profiles/joshua-pate-1399299">Joshua Pate</a>, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> and <a href="https://theconversation.com/profiles/mark-hutchinson-105409">Mark Hutchinson</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>Have you ever wondered why your back aches when you’re down with the flu or a cold? Or COVID?</p> <p>This discomfort, common during many illnesses, is not just a random symptom. It’s a result of complex interactions between your immune system and your brain called the “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314453/">neuroimmune synapse</a>”.</p> <p>A fascinating and yet-to-be-understood consequence of this conversation between the immune and brain systems during sickness is that it is particularly noticeable in the <a href="https://academic.oup.com/brain/article/145/3/1098/6370954">lower back</a>. This is thought to be one of the body’s most sensitive regions to neuroimmune threats.</p> <h2>Immunology basics</h2> <p>Our immune system is a double-edged sword. Yes, it fights off infections for us – but it also makes us acutely aware of the job it is doing.</p> <p>When our body detects an infection, our immune system releases molecules including signalling proteins called <a href="https://www.researchgate.net/publication/227831648_The_functions_of_cytokines_and_their_uses_in_toxicology">cytokines</a>. These proteins coordinate our immune system to fight off the infection and talk to our brain and spinal cord to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740752/#:%7E:text=Production%20of%20proinflammatory%20cytokines%20induces,to%20depression%20in%20vulnerable%20individuals.">change our behaviour</a> and physiology.</p> <p>This can result in symptoms like fatigue, loss of appetite, fever and increased sensitivity to pain. Classically, we think of this as a beneficial behavioural change to help us conserve energy to fight off the infection. It’s why we often feel the need to rest and withdraw from our usual activities when we’re sick – and also why we are grumpier than usual.</p> <h2>Invisibly small changes</h2> <p>Part of this self-protective response is a change in how we perceive threats, including sensory stimuli.</p> <p>When we are sick, touch can become painful and muscles can ache. Many changes in behaviour and sensory systems are <a href="https://doi.org/10.1159/000521476">believed</a> to have origins at the nanoscale. When molecular changes occur in part of the brain linked to cognition or mood, we think and feel differently. If these neuroimmune synapse changes happen in the sensory processing regions of the brain and spinal cord, we feel more pain.</p> <p>Such sensory changes, known as <a href="https://www.iasp-pain.org/resources/fact-sheets/allodynia-and-hyperalgesia-in-neuropathic-pain/#:%7E:text=Allodynia%20is%20pain%20due%20to,stimulus%20that%20normally%20provokes%20pain.">allodynia and hyperalgesia</a>, can lead to heightened pain sensitivity, even in areas not directly affected by the infection – <a href="https://www.sciencedirect.com/science/article/abs/pii/S0889159114001731?via%3Dihub">such as the lower back</a>.</p> <h2>Immune memories</h2> <p>This immune response happens with a range of bacterial infections and viruses like COVID or the flu. In fact, the sick feeling we sometimes get after a vaccination is the good work our immune system is doing to contribute to <a href="https://theconversation.com/you-cant-get-influenza-from-a-flu-shot-heres-how-it-works-118916">a protective immune memory</a>.</p> <p>Some of that immune-cellular conversation also alerts our brains that we are sick, or makes us think we are.</p> <p>After some viral infections, the sick feeling persists longer than the virus. We are seeing a long-term response to COVID in some people, termed <a href="https://theconversation.com/when-does-covid-become-long-covid-and-whats-happening-in-the-body-when-symptoms-persist-heres-what-weve-learnt-so-far-188976">long COVID</a>.</p> <p>Women, who generally have a <a href="https://www.nature.com/articles/nri.2016.90">stronger immune response</a> than men, may be more likely to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7937378/">experience pain symptoms</a>. Their heightened immune response (while beneficial in resisting infections) also predisposes women to a higher risk of inflammatory conditions like <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7980266/">autoimmune diseases</a>.</p> <h2>When to worry and what to do</h2> <p>If the pain is severe, persistent, or accompanied by other concerning symptoms, seek medical attention. Mild to moderate pain is a common symptom during illness and we often notice this in the lower back. The good news is it usually subsides as the infection clears and the sickness resolves.</p> <p>While treating the underlying infection is crucial, there are also ways to dial down sickness-induced neuroimmune pain.</p> <p>Maintaining a diverse microbiome (the collection of microorganisms living in and on your body) by <a href="https://pubmed.ncbi.nlm.nih.gov/31704402/">eating well and getting outside</a> can help. Getting quality sleep, staying hydrated and minimising inflammation <a href="https://karger.com/bbe/article/97/3-4/197/821576/Sickness-and-the-Social-Brain-How-the-Immune">helps too</a>.</p> <p>Amazingly, there is <a href="https://pubmed.ncbi.nlm.nih.gov/34404209/">research</a> suggesting your grandmother’s traditional chicken broth recipe decreases the immune signals at the neuroimmune synapse.</p> <p>Scientists are also <a href="https://pubmed.ncbi.nlm.nih.gov/24799686/">showing</a> mindfulness meditation, cold water therapy and controlled breathing can drive profound cellular and molecular changes to help activate bodily systems like the autonomic nervous system and alter the immune response. These practices might not only help manage pain but also add an anti-inflammatory component to the immune response, reducing the severity and duration of sickness.</p> <p>Heat treatment (with a pack or hot water bottle) might <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8401625/">provide some relief</a> due to increased circulation. Over-the-counter pain relief maybe also be helpful but seek advice if you are taking other medications.</p> <h2>All in the mind?</h2> <p>Is this all mind over matter? A little of yes and a lot of no.</p> <p>The little of yes comes from <a href="https://pubmed.ncbi.nlm.nih.gov/26194270/">research</a> supporting the idea that if you expect your breathing, meditation and cold bath therapy to work, it may well make a difference at the cellular and molecular level.</p> <p>But by understanding the mechanisms of back pain during illness and by using some simple strategies, there is hope to manage this pain effectively. Always remember to seek medical help if your symptoms are severe or persist longer than expected. Your health and comfort are paramount.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/207222/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/joshua-pate-1399299">Joshua Pate</a>, Senior Lecturer in Physiotherapy, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> and <a href="https://theconversation.com/profiles/mark-hutchinson-105409">Mark Hutchinson</a>, Professor, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-does-my-back-get-so-sore-when-im-sick-the-connection-between-immunity-and-pain-207222">original article</a>.</em></p>

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Sore joints now it’s getting cold? It’s tempting to be less active – but doing more could help you feel better

<p><a href="https://theconversation.com/profiles/charlotte-ganderton-1170940">Charlotte Ganderton</a>, <em><a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em>; <a href="https://theconversation.com/profiles/inge-gnatt-1425767">Inge Gnatt</a>, <em><a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a></em>, and <a href="https://theconversation.com/profiles/matthew-king-1177304">Matthew King</a>, <em><a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a></em></p> <p><a href="https://www.health.gov.au/topics/chronic-conditions/what-were-doing-about-chronic-conditions/what-were-doing-about-musculoskeletal-conditions#:%7E:text=In%20Australia%3A,stiff%2C%20painful%2C%20swollen%20or%20deformed">One in three</a> Australians has a musculoskeletal condition involving joint pain, and the most common cause is arthritis. Around <a href="https://arthritisaustralia.com.au/1in7witharthritis/">3.6 million</a> Australians have arthritis and this is projected to rise to <a href="https://www.arthritiswa.org.au/arthritis/australians-in-the-dark-with-arthritis-one-of-our-most-prevalent-and-costly-diseases/#:%7E:text=Arthritis%20is%20a%20leading%20cause,to%205.4%20million%20by%202030">5.4 million by 2030</a>.</p> <p>For some people with joint pain, cold weather <a href="https://doi.org/10.1186/1471-2474-15-66">seems to make it worse</a>. But temperature <a href="https://doi.org/10.1016/S0304-3959(99)00010-X">is just one factor</a> impacting perceptions of <a href="https://doi.org/10.1097/j.pain.0000000000001776">greater pain</a> during winter. Other factors include those we have some level of influence over, including <a href="https://link.springer.com/article/10.1007/s00702-019-02067-z">sleep</a>, <a href="https://link.springer.com/article/10.1007/s00702-019-02067-z">behavioural patterns, mood</a> and <a href="https://link.springer.com/content/pdf/10.1038/s41598-019-44664-8.pdf">physical activity</a>. Emerging research suggests greater pain levels in winter may also be related to a person’s <a href="https://doi.org/10.1371/journal.pone.0216902">perception of the weather</a>, lack of <a href="https://doi.org/10.1016/j.sjpain.2010.05.030">vitamin D</a> and <a href="https://doi.org/10.1093/rheumatology/kel414">fluctuations in their disease</a>.</p> <p><a href="https://doi.org/10.1002/msc.1191">Physical activity</a> is one of the best treatments to increase function, strength and mobility – and improve quality of life. It also <a href="https://doi.org/10.1002/msc.1191">promotes</a> mental and physical health and <a href="https://www.sciencedirect.com/science/article/pii/S1466853X21000304?via%3Dihub">reduces the risk</a> of other chronic diseases.</p> <p>But pain can be a barrier to exercise and activities you’d usually do. So what can you do about it?</p> <h2>Our brain tries to protect us</h2> <p>When it comes to pain, our brain is very protective: it’s like an inbuilt alarm system and can warn us about impending danger or harm that has occurred so we can respond.</p> <p>But it’s not always a reliable indicator of actual damage or trauma to the skin, muscle or bone, even when it feels like it is. In some instances, this warning system can become unhelpful by setting off “false alarms”.</p> <p>Joint pain and stiffness can also appear to worsen during colder weather, prompting <a href="https://doi.org/10.1177/26335565221100172">fears</a> we could <a href="https://doi.org/10.1002/jor.25151">make it worse</a> if we undertake or overdo movement. This <a href="https://doi.org/10.1016/j.jbspin.2017.07.007">can result in</a> people avoiding physical activity – even when it would be beneficial – which can worsen the pain.</p> <h2>We tend to exercise less when it’s cold</h2> <p>Seasons <a href="https://doi.org/10.1016/j.jshs.2016.07.007">affect</a> how much physical activity we get. Summer months bring warmer weather, longer daylight hours and people get outdoors more. Warmer weather also tends to elicit a positive outlook, a lift in mood and burst of physical activity to fulfil New Year’s resolutions.</p> <p>Cooler months can mean a decline in physical activity and more time being cosy indoors. A reduction in movement and less exposure to light may evoke higher levels of joint pain and can be associated with a reduction in our overall sense of well-being and mood.</p> <p>This can create a cycle where symptoms worsen over time.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="Older woman exercises with weights" /><figcaption></figcaption>But with the right knowledge and support, people <a href="https://doi.org/10.1080/08870446.2022.2126473">can remain engaged in an active lifestyle</a> especially when it’s aligned to personal values and goals. Health professionals such as physiotherapists and GPs can assess any concerns and provide strategies that are right for you.</figure> <h2>How to motivate yourself to stay active in winter</h2> <p>When looking for an approach to help you stay active during the cooler months and beyond, it can be helpful to become aware of the many <a href="https://doi.org/10.1002/msc.1191">interconnected factors</a> that impact you. They include:</p> <ul> <li>biological (your genes, other illnesses you have)</li> <li>psychological (how you think, feel and behave)</li> <li>social (your relationships and social support).</li> </ul> <p>Starting with the end goal in mind can be beneficial, but this can feel overwhelming. Try creating smaller, achievable steps to help get you there, like climbing a ladder. For example, park a short distance from the shops and increase this incrementally to increase your exercise tolerance.</p> <p>A little bit each day can often be less tolling on your body than a big effort once a week.</p> <p>Create goals that are personally meaningful and encourage you to celebrate success along the way (for example, catching up with friends or a healthy snack). Then, as you climb your “ladder”, one rung at a time, you will likely feel more motivated to continue.</p> <p>If you’re not sure where to start, talk to a friend or health provider to help you determine what is realistic and right for your situation. That way you can <a href="https://doi.org/10.1002/msc.1191">work towards your goals in a safe, non-threatening environment</a> and avoid developing fear and avoidance. They can also help you establish goals that align with your aspirations and pain experience.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/200911/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>Image credit: Shutterstock</em></p> <p><a href="https://theconversation.com/profiles/charlotte-ganderton-1170940">Charlotte Ganderton</a>, Senior Lecturer (Physiotherapy), <em><a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em>; <a href="https://theconversation.com/profiles/inge-gnatt-1425767">Inge Gnatt</a>, Lecturer (Psychology), Provisional Psychologist, <em><a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a></em>, and <a href="https://theconversation.com/profiles/matthew-king-1177304">Matthew King</a>, Lecturer, Research Fellow, and Physiotherapist, <em><a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a></em></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/sore-joints-now-its-getting-cold-its-tempting-to-be-less-active-but-doing-more-could-help-you-feel-better-200911">original article</a>.</p>

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Simple yoga moves that help with hand and wrist pain

<p><em><strong>Tracy Adshead is a yoga teacher specialising in yoga for seniors. She is passionate about bringing healing and healthy ageing to the community.</strong></em></p> <p>As we age, tendonitis is one of the most common problems associated with the hands and wrists. If you are experiencing pain or having difficulty bending one or more of your fingers normally then you may have a tendon inflammation or irritation. The condition is usually short-lived but because many of our daily activities involve repetitive movements such as knitting, texting or typing, joints can easily become aggravated.</p> <p>Yoga helps us to engage in our daily activities in a less stressful way. We can address the cause of the injury by slowing down and observing our habitual movements, then think about how we can do things differently.</p> <ol> <li>Stop whatever activity triggered the inflammation.</li> <li>After swelling has subsided, rest the hand(s) for 4 – 6 days.</li> </ol> <p>Yoga is best used for helping with the healing process at this point when a very slow range of motion can be performed. Be careful not to stretch the muscles so much that you trigger any pain. This practice should be used to supplement conventional therapy, not replace it:</p> <p><strong>1. Lift up the injured hand in front of you</strong>, if possible straighten out all the fingers, finger-tips pointing towards the ceiling. If the fingers are not able to straighten then just move them to a comfortable position.</p> <p>With a slow count of five, little by little, draw the thumb in towards the palm – it may not touch the palm and that’s fine. Next the index finger for the same count. Repeat for each of the fingers.</p> <p>Open up the hand slowly.</p> <p>Now reverse it, small finger moves first towards the palm for the count of four, then all the rest of the fingers follow, thumb comes last. Open up the hand and repeat once more.</p> <p><strong>2. Spread all of your fingers out like a starfish.</strong> With a slow count of 10, begin to fold all your fingers down, closing the hand down into a fist or as close to. Then slowly, all the way open again spreading the fingers out like a starfish. Repeat five to seven times.</p> <p>When this practice becomes comfortable move into a really active hand movement by speeding up.</p> <p><strong>3. Bring the palms together into “namaste” or “prayer” position in front of the chest.</strong> Press the fingers and palms together as you gently lift up your elbows and stretch your wrists.</p> <p>Inhale, lift the elbows up for the count of three. Exhale, lower the elbows for the count of six. Repeat five times.</p> <p>Consult your doctor before starting any new forms of exercise.</p> <p><em>Images: Getty</em></p>

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Real reason boy struggled to breathe for over half his life

<p dir="ltr">A young boy who from the age of two began to struggle with his breathing must now undergo major surgery after being misdiagnosed by doctors.</p> <p dir="ltr">Marley was just two years old and had a lingering cough, which his parents didn’t think much of until a few years later when it got considerably worse.</p> <p dir="ltr">The young boy was eventually diagnosed with asthma, the treatment for which was expected to help him breathe.</p> <p dir="ltr">Unfortunately, Marley’s condition kept getting worse and his father Jay Enjakovic wanted to get to the bottom of it.</p> <p dir="ltr">Mr Enjakovic explained that his son was playing football and basketball and his health “went downhill pretty quick”.</p> <p dir="ltr">“He couldn’t run out his games, coughing a lot more, bringing a lot of food up, bringing water up every time he ate,” the worried father said on <em>The Today Show</em>.</p> <p dir="ltr">Then, together with his wife Skye, the pair were determined to find out what was wrong with their son, who was struggling for more than half his life.</p> <p dir="ltr">The now eight-year-old was in and out of hospitals when his condition turned critical in December 2021.</p> <p dir="ltr">X-rays of Marley’s oesophagus and trachea were done and it was there the family were shocked to be told that their son possibly had tracheoesophageal fistula.</p> <p dir="ltr">Tracheoesophageal fistula is when the oesophagus is connected to the trachea which makes food, drink and saliva enter from the trachea.</p> <p dir="ltr">Doctors were ready to do a surgery on Marley but were unable to due to the inflammation.</p> <p dir="ltr">They then decided to do another X-ray, which is when they were even MORE shocked to see that something was in fact lodged in the young boy’s throat.</p> <p dir="ltr">“A few hours later I received a phone call to meet his surgeon at recovery where they pulled a piece of plastic, an arts and craft plastic flower, from his airway,” Ms Enjakovic said.</p> <p dir="ltr">“I honestly couldn’t believe it! This was the whole cause of everything! I was relieved I finally had an answer.</p> <p dir="ltr">“We are unsure how long this price of plastic was lodged in his airway, but my guess is at least five years as that’s when we started noticing small issues, which became worse over time.”</p> <p dir="ltr">The flower has since been removed and Marley is due to undergo further surgery to help repair the airway and oesophagus.</p> <p dir="ltr"><em>Images: The Today Show</em></p>

Body

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This $2 fix will save your feet next time you wear heels

<p dir="ltr">Heels might make us look great and feel confident, but they can come at a cost to our hardworking feet, namely aches, pains, and even blisters.</p> <p dir="ltr">Rachel Clinkard, who works at family-run shoe retailer Charles Clinkard, is all too familiar with this situation - and she’s got an easy fix she swears works wonders.</p> <p dir="ltr">She says that all you need is a $2 roll-on deodorant, as reported by <em><a href="https://www.mirror.co.uk/news/weird-news/bargain-29p-hack-stop-your-27221303" target="_blank" rel="noopener">The Mirror</a></em>.</p> <p dir="ltr">Clinkard claims that by applying some deodorant to the areas of your feet you think will rub while in heels, it will create a barrier between your skin and the shoe and help to prevent chafing.</p> <p dir="ltr">This hack can replace bandaids, plasters and other products like gel inserts.</p> <p dir="ltr">With deodorant going a long way, each application will be significantly cheaper than many of the alternatives too. Plus they smell great too! </p> <p><span id="docs-internal-guid-150a6878-7fff-0fe5-6738-709a4e71e7c5"></span></p> <p dir="ltr"><em>Image: Getty Images</em></p>

Beauty & Style

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Lynette’s former colleague “saw bruises” on her throat

<p dir="ltr">Lynette Dawson’s former colleague has claimed she saw bruises on the nurse's throat before she disappeared 40 years ago. </p> <p dir="ltr">Chris Dawson has pleaded not guilty to murdering his wife Lynette, who went missing from the family home in Sydney's Northern Beaches in January 1982. </p> <p dir="ltr">Annette Leary, Lynette’s former colleague, told the NSW Supreme Court that she had asked Lynette about the bruises on her neck after the pair had attended a couple’s counselling session. </p> <p dir="ltr">"She said that Chris had grabbed her throat and shook her a little and said 'if this doesn't work, I'm getting rid of you...I am only doing it once'," Leary told the court, Nine News reported.</p> <p dir="ltr">A few days after their conversation, Lynette’s contract with the hospital ended following a phone call from Dawson saying she needed time away.</p> <p dir="ltr">"Lyn had gone away, she needed some time out and he didn't know when she was coming back,” centre director Barbara Cruise recalled at court.</p> <p dir="ltr">Cruise told the judges that she was doubtful that Lynette had left on her own accord and looked up her mother’s phone number before raising the alarm. </p> <p dir="ltr">It comes as the former babysitter, who became Dawson's mistress and then his wife, has taken the stand at his murder trial.</p> <p dir="ltr">The woman, who has been known only as JC throughout the high-profile trial, first met Dawson in 1980 when he was her Year 11 sports teacher at Cromer High School.</p> <p dir="ltr">The following year, the teenager had moved in with Dawson, his wife Lynette, and their two children to work as their live-in babysitter.</p> <p dir="ltr">She told the judges that Dawson had driven her to a pub in western Sydney, claiming to have wanted to hire a hitman to kill Lynette. </p> <p dir="ltr">"I went inside to get a hitman to kill Lyn and then I decided I couldn't do it because innocent people could be hurt,” JC said.</p> <p dir="ltr">The conversation was kept private until 1990, when Dawson and JC split - she rejects claims that she made it up during the divorce and custody battle. </p> <p dir="ltr">The trial continues. </p> <p dir="ltr"><em>Images: Nine News</em></p>

Legal

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How to roll away all your sore back blues

<p>We all know that working a 9-5 and sitting all day leads to various health problems. For me personally, it manifests itself through chronic back pain and tight hip flexors. </p> <p>Fortunately, there's a way for me to soothe these aches and pains from home. I've been using <a href="https://www.therabody.com/anz/en-au/wave-roller-anz.html" target="_blank" rel="noopener">Therabody's Wave Roller</a> for the past week, and my back pain has significantly reduced. </p> <p>The Wave Roller is a Bluetooth-enabled vibrating foam roller that proposes benefits like increasing blood flow, enhancing mobility, and releasing tension. You can connect the roller to a free Therabody App, where you can find personalised recovery routines targeting all parts of your body, along with instructions and how-tos. </p> <p>Here are some of my initial thoughts. </p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2022/03/03_RizWaveroller01.jpg" alt="Therabody Wave Roller in use" width="1280" height="720" /></p> <p>My personal favourites are the mid back and upper back routines, which take up to 5 minutes to complete. Since most of the tension is in my upper body, which causes my lower back to overcompensate, I've decided to focus on these areas. </p> <p>The foam roller comes with a bag and charger and is reasonably lightweight, so you could easily carry it around. The foam itself is a high-density foam, and I like that you can customise the intensity and frequency of the vibrations. </p> <p>There are five customised vibration settings, with 5 being the highest and most intense. I could only handle up to the third setting or the medium-intensity.</p> <p>But, the higher the intensity, the more noise it produces, although I didn't mind it so much for the other benefits it provided. </p> <p>The routines are easy to follow, with pictures demonstrating each move and seamless transitions from one exercise to the next. I also liked that the intensity of the vibrations automatically changes according to what's best for that particular movement. </p> <p>I would have loved seeing a video demonstration before each routine, as I wasn't sure if I was doing some of the exercises quite correctly. </p> <p>I also found that the Wave Roller can be slippery to use in some movements, like when I tried it on my rotator cuffs. </p> <p>Despite this, the Wave Roller is a pleasure to use after a long day, when my muscles are the most tense. I find it a helpful tool in managing pain, soreness, and releasing tension. </p> <p>Although it is on the higher end of the price range compared to other foam rollers, I think it's worth the investment. The technology is advanced, and you can personalise the areas you want to work on using the step-by-step programs in their app. </p> <p>It also feels like you're getting a massage, but it's more personalised and customisable. </p> <p>If using the app seems intimidating or too complicated, you can use the Wave Roller by itself and adjust the intensity using the + and - buttons. </p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2022/03/02_RizWaveroller.jpg" alt="Therabody Wave Roller" width="1280" height="720" /></p> <p>In summary, here are the pros and cons to consider if you're thinking of purchasing one for yourself. </p> <p><strong>Pros: </strong></p> <ul> <li>Relieves soreness and muscle tension</li> <li>Variety of settings for the vibrations</li> <li>App integration </li> <li>Personalised programs that are quick and easy to follow</li> <li>3-hour battery life and it doesn’t take too long to charge</li> </ul> <p><strong>Cons: </strong></p> <ul> <li>The cost (RRP $249), but worth every penny! </li> <li>Medium to High setting intense and pretty noisy </li> <li>Depending on the exercise you do it can be quite slippery</li> <li>Video demonstrations before each exercise would be even better </li> </ul> <p>The Wave Roller series is available via the <a href="https://www.therabody.com/on/demandware.store/Sites-Theragun-ANZ-Site/en_AU/Default-Start" target="_blank" rel="noopener">Therabody website</a>. </p> <p>Images: Rizna Mutmainah &amp; Therabody</p>

Body

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Police release footage of the moment a cop grabbed a female officer by the throat

<p dir="ltr">A Florida police officer is under investigation after he was caught on video grabbing a fellow officer by the throat.</p> <p dir="ltr">Sergeant Christopher Pullease of the Sunrise Police Department was caught on bodycam footage attacking the 28-year-old officer after she tried to pull him away from a handcuffed suspect. The incident took place outside a convenience store on November 19.</p> <p dir="ltr">The incident took place when Pullease and several other officers were arresting a man for aggravated battery after he had hit people outside the Shop &amp; Save convenience store. Body camera footage, released just last week, showed Pullease walking up to the suspect as officers were attempting to get him into the police car. He then allegedly leaned into the car, pulled out his pepper spray, and aimed it at the suspect as he spoke to him.</p> <p dir="ltr">The female officer ran over and tugged on Pullease’s belt in an attempt to get him away from the suspect. The footage then shows Pullease turning around, grabbing her neck, and shoving her against another patrol car. The video does not include audio.</p> <p dir="ltr">Sunrise Police Chief Anthony Rosa described Pullease’s behaviour as “disgusting”, and said that he escalated what should have been an otherwise calm situation. He added, “I find it to be inappropriate and unprofessional, because what he did is he escalated the situation when calm was actually required.”</p> <p dir="ltr">Rosa went on to praise the female officer, who has only been with the department for two and a half years, for stepping in. He said, “I’m very proud of this police officer. She took some definitive action. I can only imagine what she must be feeling. She’s a newer officer, and he’s a very senior sergeant.”</p> <p dir="ltr">Pullease has been assigned to desk work amid an ongoing investigation, and no charges have yet been filed against him.</p> <p dir="ltr"><em>Image: Sunrise Police Department</em></p>

Legal

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Sore jaw or damaged teeth? You might be suffering from bruxism

<p><span style="font-weight: 400;">If you’re feeling stressed, you might notice you’re snappier with people or having trouble getting enough sleep. </span></p> <p><span style="font-weight: 400;">But, one area of the body that is greatly affected but seldom talked about when it comes to stress can be found in your mouth.</span></p> <p><span style="font-weight: 400;">Teeth grinding - also known as bruxism - can occur in almost anyone and result in broken fillings and cracked teeth.</span></p> <p><span style="font-weight: 400;">Before you get too worried about your oral health, you should know that everyone grinds their teeth at least a little bit.</span></p> <p><span style="font-weight: 400;">“Everybody grinds their teeth a little bit at night, it’s normal and we do it subconsciously - usually during dream sleep,” Dr Tami Yap, a lecturer in oral medicine at Melbourne University, told </span><span style="font-weight: 400;">The Age</span><span style="font-weight: 400;">. </span></p> <p><span style="font-weight: 400;">“If sleep is fragmented, you’re not getting solid sleep cycles, or you have a period of stress where you mood is impacted into the night-time, you will probably grind more.”</span></p> <p><span style="font-weight: 400;">The problems arise when grinding causes the teeth to become worn down or break, or if it causes the muscles in your face to ache.</span></p> <p><span style="font-weight: 400;">Additional symptoms can vary, from temperature sensitivity or a sore jaw to tension headaches or pieces of your teeth breaking off in your mouth.</span></p> <p><span style="font-weight: 400;">Though there isn’t a simple way to “switch off” tooth grinding, Yap explained, there are some things you can do to manage it.</span></p> <p><strong>What makes us grind our teeth?</strong></p> <p><span style="font-weight: 400;">According to Dr Elizabeth Milford, a dentist and scientific relations consultant for Oral-B, tooth grinding can be triggered by increased anxiety, not getting enough exercise, and poor sleep habits.</span></p> <p><span style="font-weight: 400;">Other habits can also exacerbate night-time tooth grinding, such as smoking, drinking large amounts of alcohol, and taking recreational drugs. But these habits are more influential on how much we grind our teeth during the day.</span></p> <p><span style="font-weight: 400;">Daytime tooth grinding is often triggered by our mood, habits, and stress levels.</span></p> <p><span style="font-weight: 400;">“When we are worried or highly stressed, we are physiologically perceiving a low-grade threat,” Yap explained. “And when this happens, stress hormones run around the body and the sympathetic system is engaged because the body is prioritising you to fight or flight.”</span></p> <p><span style="font-weight: 400;">With this comes extra tension in your muscles, with people often holding their teeth together like you would clench your fist.</span></p> <p><span style="font-weight: 400;">“And if you were clenching your fist, it would be very clear you shouldn’t be doing that. Similarly, if you’re touching your teeth together at times other than eating, you’re going to be loading your teeth more, and you’re going to get cracks, and possibly muscle pain.” </span></p> <p><strong>What can you do about it?</strong></p> <p><span style="font-weight: 400;">Minimising tooth grinding requires a holistic approach. Consciously choosing the position of your mouth and jaw and thinking about what our facial muscles are doing can help reduce it.</span></p> <p><span style="font-weight: 400;">“Teeth should only be touching when you’re eating, maybe when you phonate certain words and sometimes when you swallow,” Dr Yap said. “That amounts to a few minutes a day, the rest of the time the teeth should actually be apart.”</span></p> <p><span style="font-weight: 400;">Dr Yap recommends focusing on breathing, since this helps you become “more aware of how your mood and your stress is impacting changes on your body”.</span></p> <p><span style="font-weight: 400;">Treatment can also include jaw exercises, relaxation techniques, and custom-made dental appliances that reduce pressure on teeth.</span></p> <p><span style="font-weight: 400;">Dentists often recommend night guards, but becoming more aware of how we’re feeling and how our body is reacting will pay off in the long run.</span></p>

Body

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Eddie Van Halen dies from throat cancer

<p>Eddie Van Halen, legendary guitarist and co-founder of Van Halen, has died at the age of 65 from throat cancer.</p> <p>He lost his battle with the illness on Tuesday at St John's Hospital in Santa Monica, California.</p> <p>His wife of 11 years, Janie, was by his side as well as his brother and Van Halen drummer Alex and his son Wolfgang.</p> <p>Doctors discovered that his throat cancer had moved to his brain and other organs in the last week.</p> <p>Wolfgang, 29, shared a touching post and announced the news on social media of his father's passing.</p> <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CGA4YQmlmSr/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="12"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"></div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"></div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"></div> </div> </div> <div style="padding: 19% 0;"></div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"></div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <p style="margin: 8px 0 0 0; padding: 0 4px;"><a style="color: #000; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none; word-wrap: break-word;" rel="noopener" href="https://www.instagram.com/p/CGA4YQmlmSr/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank">I can’t believe I’m having to write this, but my father, Edward Lodewijk Van Halen, has lost his long and arduous battle with cancer this morning. He was the best father I could ever ask for. Every moment I’ve shared with him on and off stage was a gift. My heart is broken and I don’t think I’ll ever fully recover from this loss. I love you so much, Pop.</a></p> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;">A post shared by <a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px;" rel="noopener" href="https://www.instagram.com/wolfvanhalen/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank"> Wolf Van Halen</a> (@wolfvanhalen) on Oct 6, 2020 at 12:26pm PDT</p> </div> </blockquote> <p>"He was the best father I could ever ask for. Every moment I’ve shared with him on and off stage was a gift," Wolfgang wrote as he was the bassist for Van Halen.</p> <p>"My heart is broken and I don’t think I’ll ever fully recover from this loss.</p> <p>"I love you so much, Pop," he wrote.</p> <p>Eddie had been fighting throat cancer for more than a decade, after first confirming his initial diagnosis back in 2001.</p> <p>In the last five years, he had been travelling between the US and Germany for radiation treatment.</p> <p>Van Halen was formed by brothers Eddie and Alex in 1972 and quickly shot to fame by the early 1980s, with their album <em>1984</em> going five-times platinum.</p> <p>Eddie also performed the legendary guitar solo in Michael Jackson's hit <em>Beat It</em>, though at the time did it uncredited and as a favour to producer Quincy Jones.</p> <p>“I did it as a favour”, Eddie later admitted. “I was a complete fool, according to the rest of the band, our manager and everyone else.</p> <p>“I was not used. I knew what I was doing – I don’t do something unless I want to do it.”</p>

News

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Disturbing footage of man grabbing “teenage girl by throat” surfaces

<p><span>Disturbing footage of the horrifying moment a teenage girl was allegedly slammed to the ground during a fight outside of a Woolworths store front has surfaced.<br /></span></p> <p><strong><img style="width: 500px; height: 281.25px;" src="https://oversixtydev.blob.core.windows.net/media/7836752/woolies-brawl-4.jpg" alt="" data-udi="umb://media/b140c9c15b9c4e6689295685e417e833" /></strong><br /><span>An intense brawl broke out at Chirnside Park shopping centre on the Maroondah Highway in Melbourne's north east on Saturday morning, and video footage captured showed two men allegedly holding the young girl by just the scruff of her neck before tossing her to the ground.</span><br /><br /><span>The footage also shows a teenage boy rushing into the brawl to attack them, and is allegedly seen throwing wild jabs at the men before also being knocked down to the ground.</span></p> <p><img style="width: 500px; height: 281.25px;" src="https://oversixtydev.blob.core.windows.net/media/7836751/woolies-brawl-1.jpg" alt="" data-udi="umb://media/d0101e48c7144dadb89cf322e8e98c27" /><br /><span>A knife is also seen in the video, and is swiftly collected by the teenage girl while she was sprawled out on the floor.</span><br /><br /><span>“Leave the knife! Drop the knife!” a bystander can be heard yelling in the video as the men continue their scuffle outside of the frame.</span><br /><br /><span>Yarra Ranges Crime Investigation Unit have charged four people with affray following the incident.</span></p> <p><img style="width: 500px; height: 281.25px;" src="https://oversixtydev.blob.core.windows.net/media/7836750/woolies-brawl-2.jpg" alt="" data-udi="umb://media/21132253307749ce8e80e94959be400c" /><br /><br /><span>“It’s alleged the altercation occurred between two small groups who are known to each other,” Victoria Police said in a statement.</span><br /><br /><span>A 19-year-old man and 18-year-old woman from Croydon were both charged at the scene.</span><br /><br /><span>A 42-year-old Croydon man and 44-year-old Lilydale man were charged the following day.</span><br /><br /><span>The 42-year-old Croydon man was treated in hospital for non-life threatening facial injuries.</span><br /><br /><span>All four were granted bail and will appear in Ringwood Magistrates Court on October 1.</span></p>

News

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Fright for sore eyes: Can you spot the ghost among the ghouls?

<p>Halloween is approaching fast – so why not try testing your sight with this Halloween-themed brain teaser?</p> <p>Created by<span> <a href="https://aira-dot-yamm-track.appspot.com/Redirect?ukey=13s5Wtz7jilpLxclOdEVs6gNYdj5JJM1cETq1d0aS0JU-0&amp;key=YAMMID-98497662&amp;link=https%3A%2F%2Fwww.libertygames.co.uk%2F">Liberty Games</a>, this puzzler hides a ghost among a collection of skulls, vampires, mummies and scary pumpkins. Take a look at the image and see for yourself:</span></p> <p><img style="width: 500px; height: 281.25px; display: block; margin-left: auto; margin-right: auto;" src="https://oversixtydev.blob.core.windows.net/media/7832083/pactual.jpg" alt="" data-udi="umb://media/2f9dc6dbf683416b9e295f83324e9ff3" /></p> <p><span>Could you spot it?</span></p> <p><span>If you can’t, try again before scrolling below.</span></p> <p><span>Once you’re ready to confirm, find the answer on the picture below:</span></p> <p><img style="width: 500px; height: 281.25px; display: block; margin-left: auto; margin-right: auto;" src="https://oversixtydev.blob.core.windows.net/media/7832082/pactual2.jpg" alt="" data-udi="umb://media/b67d545d19124af78f2f78c97b157de0" /></p>

Mind

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"I miss to be hugged": Celine Dion's emotional confession

<p>Award-winning singer Celine Dion has confirmed that she’s still “not ready to date” after her husband <span>René's</span> passing back in 2016.</p> <p>Dion sat down with NBC’s Sheinelle Jones on the<span> </span><em>TODAY</em><span> </span>show and admitted that she pours herself into her work and a new tour instead of dating.</p> <p>“I don't date,” Dion said matter-of-factly.</p> <p>“I'm not ready to date. I'm very lucky and happy to have so many people in my surrounding to make me — they make me laugh, but I miss to be touched.”</p> <p>Dion also said that she misses being “hugged”.</p> <p>“I miss to be hugged. I missed to be told "you're beautiful." I miss what a boyfriend and I miss what a husband would do.'”</p> <p>Dion also recalled her last conversation with her husband of more than 12 years back in 2016.</p> <p>“He called me before a show and give me a little message: ‘I love you’ and when I came home that night, it was very, very late ... And I didn't want to come and wake him up to give him a kiss, to wake him up and then he can't find sleep again. </p> <p>“And the next morning, he was gone. So, we talked before. And he sent me a text message. So we said goodbye.'”</p> <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/BPO3dQkgotI/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="12"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"></div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"></div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"></div> </div> </div> <div style="padding: 19% 0;"></div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"></div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <p style="margin: 8px 0 0 0; padding: 0 4px;"><a style="color: #000; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none; word-wrap: break-word;" rel="noopener" href="https://www.instagram.com/p/BPO3dQkgotI/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank">Il y a un an, le 14 janvier 2016, René Angélil nous quittait. Son souvenir reste à jamais gravé dans nos cœurs. Today, January 14th, it’s been a year since René left us. He will always be in our hearts. -Team Céline ❤</a></p> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;">A post shared by <a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px;" rel="noopener" href="https://www.instagram.com/celinedion/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank"> Céline Dion</a> (@celinedion) on Jan 13, 2017 at 9:01pm PST</p> </div> </blockquote> <p>Despite Dion focusing on the love and support of her close friends and her three children, she still finds things difficult.</p> <p>“This is my first English album without René,' she said. 'When I say without René, without René physically, because René will always be part of me.”</p> <p>“Before I talk, he goes through my mind,” she said. 'Would he do that? Is it too edgy? Would he be like approving that?’ I believed in him so much. And I still do. </p> <p>“But there's a point that he's not here anymore. I have to take charge of my life.”</p> <p>Scroll through the gallery to see Celine Dion, her late husband René and their three children through the years.</p>

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How to ease soreness after exercise

<p><em><strong>Brad McIntosh, a Doctor of Physiotherapy, shares his tips on decreasing inflammation and joint swelling caused by exercise.</strong></em></p> <p>As we get older, exercise remains important and vital to maintaining fitness, muscle mass and bone density. But as we age, so do our joints, and the weekly tennis match or Saturday morning walk can leave us swollen and in pain.</p> <p>Here are five things you can do to decrease inflammation and joint swelling caused by exercise:</p> <p><strong>1. Ice is nice</strong></p> <p>For quick pain relief, the best remedy lives in your freezer. Keep a gel cold pack or a bag of frozen peas or corn in the freezer so you always have quick relief on hand. Wrap the cold pack or frozen vegetables in a towel and apply to the painful joints for approximately 20 minutes. This can reduce swelling and ease the pain by numbing the nerves around the joint. </p> <p><strong>2. Shower power</strong></p> <p>The morning after exercise can be especially painful because as we age we experience a decline in tissue flexibility and joint mobility. Joint pain is increased when our muscles and tendons are stiff. Start your morning with a long, warm shower to increase blood circulation and relax muscles. Heat packs can also be used on isolated areas throughout the day.</p> <p><strong>3. Warm up, cool down</strong></p> <p>If you skip the stretch after exercise you’ll likely pay for it later. Tight muscles resulting from exercise will impact normal movement patterns and limit full joint movement. This can add extra pressure on your joints and lead to additional inflammation, resulting in more painful joints. Stretch out before and after physical activity to relax muscles and prevent increased joint pain from exercise.</p> <p><strong>4. Let’s get physical… therapy</strong></p> <p>If you’re experiencing pain that cannot be eased with ice or heat packs, it’s probably a good idea to go and see a professional. Physiotherapists are experts in human movement and can give you exercises, stretches and advice to help alleviate joint pain and increase movement and flexibility.</p> <p><strong>5. Get fishy</strong></p> <p>Omega-3 fatty acids, found in fish and fish oil capsules, helps to reduce inflammation and joint swelling. Fish also generally contains fewer calories than other meats, so try to combine fish such as salmon into your diet – or take a <strong><span style="text-decoration: underline;"><a href="https://www.blackmores.com.au/products/odourless-fish-oil-mini-caps">Blackmores Odourless Mini Fish Oil</a></span> </strong>daily to reap the health benefits without the fishy smell or aftertaste.</p> <p>Tell us in the comments below, how do you recover after a tough workout?</p>

Body

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4 natural ways to get rid of a cold sore

<p>When you need to fix a cold sore fast you don’t necessarily have to rush out to the chemist – the remedy could already be in your kitchen.</p> <p>Here are four natural ways to rid of cold sores, without turning to harsh chemicals.</p> <p><strong>1. Milk</strong></p> <p>Soak a cotton ball with milk and let it sit for a few minutes. It will soothe the pain and help fight off the virus.</p> <p><strong>2. Liquorice</strong></p> <p>Liquorice root has an acid called glycyrrhizic, which will stop the virus from growing and developing and arms the body to counter attack. Mix some liquorice powder with water to make a topical paste.</p> <p><strong>3. Garlic</strong></p> <p>Garlic isn’t just great for colds it’s also great for cold sores. Crush a clove and put it directly on the sore, and let the healing antiviral, and antibiotic properties work their magic.</p> <p><strong>4. Ice</strong></p> <p>Yes, ice. It’s so simple and although it doesn’t have the miracle properties of the other solutions listed, you are bound to have it in the house. Its cooling effect will take away the pain and swelling, and help you resist the urge to pick.</p> <p><strong>Related links:</strong></p> <p><a href="/lifestyle/beauty-style/2016/09/how-to-naturally-reduce-dark-circles-under-eyes/"><em><strong><span style="text-decoration: underline;">How to naturally reduce dark circles under eyes</span></strong></em></a></p> <p><a href="/lifestyle/beauty-style/2016/08/things-to-eat-and-drink-to-make-your-skin-glow/"><strong><em><span style="text-decoration: underline;">6 things to eat and drink to make your skin glow</span></em></strong></a></p> <p><a href="/lifestyle/beauty-style/2016/08/how-to-make-your-own-blackhead-strips/"><strong><em><span style="text-decoration: underline;">How to make your own blackhead strips</span></em></strong></a></p>

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