The Fitness Blog

Injuries and gout can be a contributing factor of joint pain and arthritis. Some people feel this disease is hereditary. If you have arthritis you will have puffiness around the joints. Chronic diseases are all around us and arthritis is one of them. The best method to help is to learn to accept it. Just one way of relieving the pressure on our joints is to slim down, this will result in less pressure on the joints. Dieting and physical workouts can retard the joint pain.

A great lesson to start with is to eat only if you are hungry and stop eating when you are full. Bodies need minerals, nutrients, a way to get these is to eat the right amounts of milk, fruit, grains, proteins and beans. Eating this way will give you a great deal of energy if you keep them balanced. This will need to not be a new diet but a healthy habit. Dealing with joint pain is not simple so you will need to eat right constantly. Not simply will weight reduction begin but having an increased amount of energy will increase, and the pressure on your joints will decrease. This’ll help with the control of pain.

Arthritis will be much better if treated with physical exercise. Endurance will increase in addition to flexibility. The muscles around the joints will decrease and reduce stiffness, thus giving pain relief. Hurting yourself isn’t feasible because of exercise, it will only do good. Exercise should be moderate and pushing yourself is not required. Extending workouts is a good method to ready your body for a workout. Golfing is a great moderate form of exercise, so if you are a golfer then do it frequently. The internet even has exercises for the different aspects of joint pain. In the main consider walking, biking etc. Some people enjoy the water so water strolling and swimming are great too.

Physical therapist can be a big help too. They will inform you the best exercises for your needs as well as give you a devise to lessen the strain on your joints. Calling your physician and telling him your action plan is always an excellent resource. If you want therapy, you will need your physicians approval. Controlling this illness is the best an individual can do for themselves. Exercise and diet will let you have a great deal of help to live a nourishing and pain controlled life. Arthritis is not going to go away over time so you have to learn to live with it. Eat well everyday and exercise, if you are not consistent, you will not help yourself. Playing around with what works for you is very important. It is fundamentally trial and error. Otc medicines like pills for pain, ointment and creams can all give some respite. There are even natural remedies available now such as Flexcin. Just be sure to read if the side effects of Flexcin will be an issue with you. How you look after yourself will give the most relief.

Making a plan of action is extremely important. Write down what foods you need to buy and what exercise you will do at least 4 times a week. Now look at what you wrote and go shopping and purchase it. Next start on your exercise plan and check it off as you do it. This will assist you follow your plan and soon it will be your new way of life.

Do you feel stiffness and pain in your hands? Do you find it difficult to use things like a kitchenaid hand mixer or a handheld vacuum cleaner? It could be that you’re suffering from arthritis of the hands. But worry not. It’s relatively easy to get back to your usual activities by seeing a doctor and following a recommended mode of treatment.

Arthritis is a disease involving the cartilage of bone joints. It can be caused by a lot of factors, including trauma and heredity. While there are so many types of the disease, the most common is osteoarthritis or degenerative arthritis. It’s related to aging and the normal wear and tear of cartilages.

This disease may also strike other weight-bearing joints, including the knees, shoulders, lower back and hips. When it develops in the hands, using them can be quite a problem. This is because swelling and pain in the affected areas are present. Moving the fingers may give off a clicking or grinding sound. It’s also not unlikely for the middle and end finger joints to develop bony knobs.

Physical examination and medical history taking will be done by a specialist to diagnose the disease. Structural changes within the hands may be revealed by getting an x-ray. Sometimes blood testing is necessary, if the specialist suspects rheumatoid arthritis, a kind of autoimmune disease. Treatment and management will have to depend on the findings.

There are topical treatments for getting rid of the pain and swelling. But there are also those taken orally, such as NSAIDs (Non Steroidal Anti-Inflammatory Drugs). Splinting is sometimes done to give the hands an optimal resting position. Corticosteroids may also be injected directly into the affected hand joints. But for severe arthritis cases, a specialist may have to perform a surgery.

For mild pain, you can apply arthritis creams or liniments, as well as cold compresses. You may also do hand exercises, such as making a fist, spreading your fingers and having each finger tip touch the thumb. These practices are particularly helpful prior to typing on a keyboard, pressing buttons below a gadget’s custom LCD, or other activities at work.

Arthritis of the hands need not get the best of you. This is as long as you seek the help of a specialist and follow prescribed treatments. In no time you can resume handling a Canon digital SLR camera, swinging a golf club and other pursuits. You will find that arthritis should not cause lingering pain, swelling and joint immobility.

When the blood is toxic, the whole body suffers. Gradually the body and its organs weaken due to toxic and excess in the blood. The excess in the body can generate depletion by impeding minerals, vitamins, and physical energy. More in severe cases, coldness, dampness, body dryness and heat can govern. Beacause of the blockage, people will sense the deficiency and over-nourish thus developing further excess or obesity. Some will choose to medicate thus stressing the liver more. This exacerbates the toxicity due to the liver becoming extended and not able to clear as fast in comparison to a build-up in toxicity and continued excess ingested. In order to correct the underlying imbalance in the blood, focus needs to be given to blood purification.

Underneath is an inventory of foods that will aid purification of the blood while at the same time anchors healthy blood function.

FOODS THAT ENHANCE BLOOD PURIFICATION:

Beets: While purifying the blood, this food strengthens the heart, circulation, liver, improves constipation. While beets moisten the blood, it also uncongests by unstacking blood components, thus supporting normal blood flow which results in calming nervousness and the spirit.

Celery: This cooling, blood purifying food improves key digestive organs – stomach, spleen, pancreas, liver. Due to its cooling characteristics, the subsequent disorders are benefitted – nervousness, vertigo, eye irritation, burning urine, blood in the urine, acne, canker sores, extreme appetite, menopause, headache, damp body type, diabetes, acidosis, rheumatism, arthritis, gout, nerve inflammation and high blood pressure.

Cucumber: Blood detoxifier, cooling, diuretic, anti-toxic, Improves, bladder and kidney infections, stomach inflammation and ulcers, sore throat, conjunctivitis, acne, skin imbalances. Great topical for skin inflammation.

Grape: Blood purifier, diuretic, increases energy, benefits glands, liver and kidneys, bones, connective tissues and muscles, rheumatism, arthritis, cold constitution, urinary pain, liver imbalances (hepatitis, jaundice), red grapes for anemia and strength. 8 ounces per day for chronic conditions. 16 oz. for acute episodes.

Lemon/Lime: Blood cleanser, particularly valuable for Excess body types who have dieted on a high fat protein regimen. Its anti-microbial, antiseptic itch, clear the alimentary canal from mouth to rectum. Supports liver functions and digestive absorption. Benefits: colds, flus, dysentery, bad coughs, parasites, weight loss, high blood pressure, sluggish and congealed blood, deteriorating blood vessels, flatulence, indigestion, diabetes, spasms, nervousness, excess thirst, topical for itch, sores, corns, eye wash. Stay away from these if you have deficient blood (sleeplessness, poor complexion, agitation, emaciation). Lime is stronger than lemon.

Raspberry: Blood purifier, neutral food temperature, improves the liver and kidneys, nourishes the blood. Benefits: anemia, excessive/frequent urination,

Raspberry leaf improves the uterus, normalizes excessive menstrual flow, supports premature ejaculation, pregnancy hormone balance, curtails bleeding.

Dried unripe raspberry fruit is stronger than mature fruit. The fruit supports one’s essence thus enhances libido, impotence, involuntary seminal emission and spermatorrhea. Improve eye visual functions.

Salt (Himalayan, Sea): Blood purifier, softens masses, moistens dryness. This benefits hardened lymph nodes, cataracts, muscle and gland hardness, constipation, abdominal swelling and pain, skin inflammation and sores, sore throat, nourishes the heart and mind, increases concentration, calms the dry, nervous, thin body type. Steer clear, if your physical type is moist, with excessive weight, sluggishness, hypertension

Tomato: Blood purifier, detoxifies the whole body, nourishes the stomach, clears the liver, stimulates appetite, indigestion, food retention, anorexia, constipation, high blood pressure, red eyes, headaches, rheumatism, gout

Vinegar: Blood purifier, stimulates body energy and circulation, decongests the blood and liver, improves mood, food poisoning, nausea, edema, overweight, mucus, topical-athletes foot and insect stings, digestive parasites and worms, ceases bleeding-nose, spitting blood, fainting, post childbirth anemia. Avoid if you have poor digestion energy, soft stools, persistent exhaustion, overall weakness, muscular damage, arthritis.

Watercress: Blood purifier and builder, diuretic, improves the lung, stomach, bladder and kidney energy, lubricates the lungs and throat, reduces cancerous growths, improves night vision, clears facial sores, stimulates gland secretions, benefits jaundice, urinary tract problems, yellow lung mucus, sore throat, mumps, gas, bad breath.

You can also juice these foods 3-4 cups a day for a 160 lb. person. This can be increased for heavier people. You can mix or drink individually. When designing your diet, allow for 3/5 of your plate to hold the above items while 2/5 needs to hold the secondary items below. Preferred blood detox herbs offering natural chelation are listed at Herb Medicine - Ailments Reference .

Additional secondary foods to support the primary purification foods above:

Vegetables: Asparagus, Avocados, Alfalfa sprouts, Broccoli, Brussels sprouts, Cabbage, Carrots, Vegetable juices, Cauliflower, Celery, Collard greens, Cucumbers, Fennel, Garlic, Green beans, Green peas, Kale, Leeks, Micro-algae (chlorella, spirulina, wild blue-green), Seaweeds (irish moss, kelp, etc.), Turnip, Scallion, Saltless sauerkraut, Mushrooms (Ganoderm, Maitake, Shiitake, YunZhi), Pumpkin & seed
Meat: Cod, Halibut, Salmon, Scallops, Tuna (from non-toxic sources, small portions-10-15% of plate, 1 time per day)
Fruit: Apples, Apricot, Bananas, Bitter melon, Blueberries, Cantaloupe, Cherry, Cranberries, Figs, Grapefruit, Grapes, Kiwifruit, Lemon/Limes, Oranges, Papaya, Pears, Pineapple, Plums, Prunes, Raisins, Raspberries, Strawberries, Watermelon
Legumes: Black beans, Dried peas, Garbanzo beans (chickpeas), Kidney beans, Lentils, Lima beans, Miso, Navy beans, Pinto beans, Soybeans
Whole grains: Amaranth, Barley, Brown rice, Buckwheat, Corn, Millet, Oats, Quinoa, Spelt, Whole wheat, Whole rice
Nuts & Seeds: Fox nut, Chestnut, Sesame seed, Flax seed, Walnut, Rye
Sweeteners: Royal Jelley, Stevia, Agave Nectar, Bee pollen
Healthy oils: Sunflower seed, sesame oil, ghee & coconut oil

The above healthy foods will go a long way to purify your blood, elongate and bring quality of life. You can free yourself from debility while choosing the harming foods will bring a short, painful and restricted life. At the moment, what’s left, but to discover the strength for 90-180 days and tune into your healthy body. 

Mark Hammer C.M.H. Master Herbalist- Chinese Medicine  Longevity Mountain 

Although chiropractics have long been known to be beneficial to the body, there are likewise dangers and risks of chiropractic care. You need to be watchful of these to prevent health problems and financial predicaments. You need to have a sound and effective plan ready, so that your methods of remedy stay helpful for the long term. Here are some additional points.

The Dangers of Neck Manipulation

Chiropractic manipulation to the neck has been found to be very risky. There’s a relationship between the relative incidence of cerebrovascular accident from the procedure wherein 1 to 3 patients out of every 1 million have stroke. A survey in Switzerland was conducted which included 203 practitioners. They discovered that 1 out of every 400,000 patients who underwent cervical manipulation suffered from stroke, with death occurring in every 1.5 million. Complications occur 3% to 4% of the time among cervical spine surgery patients, that is very reminiscent of chiropractic neck manipulation procedures.

Arthritis Treatment

The process, however, is still desirable to several patients as it is shown to be very highly effective and cost-effective. Spine manipulation renders temporary pain relief, and enhances range of movement. Back and neck pain may be alleviated thoroughly.

About Chiropractic

Chiropractic is an approach wherein the diagnosis, therapy and prevention of different mechanical disorders, are founded on the spine. The practice is more often than not thought of as an alternative sort of medicine, that is rejected by most chiropractors. The primary treatment includes manual therapy wherein the spine is manipulated, together with soft tissue and other joints. Bodily dysfunctions may be triggered by interferences with the various points in your body.

The Spine Risk

Since the spine and joints are the principle body organs included in the approach. The process can pose dangers if the spine is treated inappropriately. It is important that you invest and trust only in a practitioner who has been in the field for a long while. It is necessary that you maintain the proper position throughout the process, to avoid having your spine pressed in the wrong manner.

Arthritis Diet

Spinal manipulation might have serious complications, identical to any other medical and alternative treatment. The occurrences are actually quite rare. The dangers and risks of chiropractic care may be alleviated a lot if the systems and employed carefully.

On Complications

Chiropractic can likewise result in different symptoms and side effects if done inappropriately. There are contraindications that should be thought about or else the patient may suffer from rheumatoid arthritis, unstable joints and joint pain. Brittle bones is one of the contraindications, so seniors and children should look up a physician first, to decide if it is fully safe to count on alternate treatment.

Neurological signs, neck pain and terrible headache may also occur. The procedure is oftentimes connected with temporary and mild ill effects. Stiffness may also be felt in affected regions. Pain or stiffness usually happens among 35% to 55% of patients. Spinal manipulation, specially when done on the upper spine, may result in complications that may for good disable or kill the patient.

Arthritis Symptoms

Patients underneath 45 years of age are particularly vulnerable to having vertebrobasilar artery stroke. Other traditional diagnostic procedures such as the X-Ray or CT Scan may also be used by chiropractors to make certain diagnosis.

The risks involved in certain diagnostic procedures are just the identical to in any conventional sort of remedy.

Do you feel stiffness and pain in your hands? Do you find it difficult to use things like a kitchenaid hand mixer or a handheld vacuum cleaner? It could be that you’re suffering from arthritis of the hands. But worry not. It’s relatively easy to get back to your usual activities by seeing a doctor and following a recommended mode of treatment.

Arthritis is a disease involving the cartilage of bone joints. It can be caused by a lot of factors, including trauma and heredity. While there are so many types of the disease, the most common is osteoarthritis or degenerative arthritis. It’s related to aging and the normal wear and tear of cartilages.

This disease may also strike other weight-bearing joints, including the knees, shoulders, lower back and hips. When it develops in the hands, using them can be quite a problem. This is because swelling and pain in the affected areas are present. Moving the fingers may give off a clicking or grinding sound. It’s also not unlikely for the middle and end finger joints to develop bony knobs.

Physical examination and medical history taking will be done by a specialist to diagnose the disease. Structural changes within the hands may be revealed by getting an x-ray. Sometimes blood testing is necessary, if the specialist suspects rheumatoid arthritis, a kind of autoimmune disease. Treatment and management will have to depend on the findings.

There are topical treatments for getting rid of the pain and swelling. But there are also those taken orally, such as NSAIDs (Non Steroidal Anti-Inflammatory Drugs). Splinting is sometimes done to give the hands an optimal resting position. Corticosteroids may also be injected directly into the affected hand joints. But for severe arthritis cases, a specialist may have to perform a surgery.

For mild pain, you can apply arthritis creams or liniments, as well as cold compresses. You may also do hand exercises, such as making a fist, spreading your fingers and having each finger tip touch the thumb. These practices are particularly helpful prior to typing on a keyboard, pressing buttons below a gadget’s custom LCD, or other activities at work.

Arthritis of the hands need not get the best of you. This is as long as you seek the help of a specialist and follow prescribed treatments. In no time you can resume handling a Canon digital SLR camera, swinging a golf club and other pursuits. You will find that arthritis should not cause lingering pain, swelling and joint immobility.

As it is, pain can blind someone to all the brightness that life offers. Arthritis is very painful and it does not go away. We simply learn to live with it, reduce its symptoms and lead near-normal lives. Our activeness is usually the first to be lost, and then our ability to be effective mobile is reduced too. As the wear of cartilage in joints progresses, it becomes a painful existence.

Look at these tips and you will learn one or two tricks on how to keep arthritis problems in control.

- Diagnosis: once you suspect that you have arthritis, approach a doctor and allow them to take tests. People are more comfortable knowing what disease they are suffering from rather than guessing at a host of possible diseases. A diagnosis also gives the patient insight on what might happen at the worst or in the best case scenario. Other than pain, you will have a grating feeling about your joints when you move them.

- The diet: food is important in keeping us alive. When you have arthritis, food can be made to do more than keep us alive. Selected foods can help us cut weight while ensuring that we don’t starve. Some foods that are rich in vitamins E and C can be crucial in collagen production. Others repair cartilage. Our fluids can be taken with herbs in them- herbs that reduce inflammation and kill pain.

- Exercise: you need exercise to make your muscles stronger so that their wear is slower. A weak muscle wears out like wet paper. Exercise can also help you watch your weight which means that you won’t strain your joints with excess weight.

Warming up: Before any exercise, warm up and stretch but carefully. This prevents injuries that can hit the joints. Make it routine that for ten minutes before your normal jog, you stretch and prepare your body for a work out. There is need however to take it slow on the stretching part. If you are to overstretch a muscle, then that muscle is unlikely to support the joint when you are actually exercising. The joint is therefore more prone to injury that before.

- Let injuries heal: the fashion in which injuries heal is such that the worn put part becomes a scar and then the healing happens inside. If you keep on working out, the scar will not be formed and it is likely to wear out the cartilage even faster than before when it is sore. Most of the tips suggested here hint at a total lifestyle change. Follow them and they will change your approach to arthritis.

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Just because you have finally reached retirement age does not mean that you cannot look and feel your best. There are many available products which you can use that not only help you to look better, but also help you to feel better.

Retirement should not be just a time to fall apart and die. You do not have to let the body aches and aging process take over your life just yet. There are many product available that help you to look and feel your very best.

As their bodies age, many people begin to feet the effects of arthritis. While doctors do not know all the causes of arthritis, injuries and age seem to be closely related to the ailment. Many people feel that arthritis remedies including such products as glucosamine can help you to live without arthritis pain for many years.

Another problem that often hits people at this age is the aging of the skin. Wrinkles and age spots develop and are difficult to cover, even with the best of makeup. Rather than try and cover those wrinkles, try using anti aging skin care products to stay young looking.

Retirement should be one of the most fun times of life. You have worked hard for many years, you have raised a family and now you have free time. This should be the time that you are able to do as you please. Your life should not be ruled by the aches and pains or arthritis nor should it be limited by the aging process.

If you choose the correct products, you will be able to look great and feel even better. Not only can you have younger looking skin, but your body does not have to suffer from the pain of arthritis. Use those retirement years to learn a new hobby. Play tennis or golf. Go fishing or swimming. Take some time to travel, both in your homeland and abroad. Book a cruise and sail the ocean, visiting many exotic ports of call. Take the time to visit old friends or family or simply stay around home and do nothing at all. You have earned retirement, now enjoy the time.

How will you spend your retirement years? Will you be the little old wrinkled up lady that is bent over with the arthritic pain or will you choose to be the picture of older health with young looking skin and able to move and do as you please. Retirement does not have to be filled with the pain or arthritis or plagued by looking old.

Arthritis is also known as the disease of the joints. There are over a hundred types of it and each is varied in its cause, manifestation and progress rate. Patients have been seen to respond better to this illness’ affliction once they know the particular strain they are suffering from.

There is also a great opportunity of avoiding this illness altogether. We must admit that little is known about the pattern of the chemical processes in your body just before the disease strikes. But emphasis has been shifting towards general awareness on causes of it too.

One cause is weight. When you are overweight, the mechanics of it are such that your joints are burdened with an extra weight. It is simply like a taking a Mini Cooper and loading it with a tonne of lead metal. She cannot move and if she does, the suspensions will soon give way. If you look at it like that, you will understand that pressure on the cartilages that shield bones from meeting in joints becomes too much to be borne. Slowly, the cartilage thins and there is a grating sensation in them. Incidentally, while it is being overweight that might cause arthritis, the reduced mobility that comes with the disease makes it even more possible to gain more weight. To avoid getting over weight, watch your food and exercise regularly.

The specific occupation you are engaged in is also a possible cause of arthritis. Jobs whose description includes repetitive movements of certain muscles over-task those joints and muscles. Sometimes, manual work in factories and construction sites might cause someone to be stuck in one spot for a long time making the same motions with their hands or feet. When the muscles are over-stretched in one region, they cannot support the joints in that area. This exposes the cartilage in the joints to undue pressure and hastens their wear and tear. Even typing for lengthened periods of time and especially in the wrong posture can leave you with an altered gait and arthritic fingers. To improve your productivity and still take care of yourself as far as arthritis is concerned; make sure you are comfortable position when performing a repetitive task. You should also form a habit of taking a break and stretching your hands and feet as well as your back to prevent an arthritic attack.

Physical injuries can also cause the disease. While not all of the cases of broken bones and or similar injuries turn out to be arthritic, the risk is always there. The manner in which the injury happens is crucial. If it happens over time or there is excessive trauma on the join, then it could be a cause. Treat your injuries promptly and allow them time to heal.

The other cause is age. Reduced regeneration of tissue cells means that even cartilage worn out in joints is not replaced as fast as it is lost.

It is important to note that the causes of arthritis are not all in our control. By studying the ones we have singled out, we improve the chances of staying arthritic free.

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Look at the following tips and build on your knowledge of this disease.

1. There a more than 100 types of this illness. In occurrence, a single variety can probably be called a single disease. These related conditions are diagnosed as different and treated as such. The most similar thing with all is that it affects joints and the areas surrounding the joints. At risk is cartilage that prevents bones from rubbing against each other. Other varieties afflict the muscle and soft tissue too.

2. Arthritis cannot be cured; it can be managed. With this in mind, we can begin to understand its various treatments and what they do. At this point, let us get it clearly that the best a treatment formula can do for you is reduce the amount of pain, calm down the inflammation around joints and slow down the progress of this disease.

3. The only expert who should handle your case should be a rheumatologist. Such a doctor’s expertise is in arthritis and they understand it better, have probably treated it before and have a more truthful picture of the reality this disease is.

4. It is possible to be limited by the effects of this disease in your functions on a daily basis. You might not be able to walk well, bend over, stoop or do stairs. Your productive hours of work might be reduced by attacks of deep pain. It is important that you begin to understand this and make provisions for it. you can relinquish some of your responsibilities at work or assign duties you used to perform to other members of the family.

5. It cost to treat arthritis. Even when you strive to keep your treatment of this chronic illness natural, you are only lowering the cost. Herbs and supplements cost and you cannot postpone buying them like you would do with a new shirt. Healthy eating can also cost you a little. What is important to know is that everything costs. What matters is to make it worthwhile.

6. Emotionally, there can be a strain. Before spouses begin to understanding that arthritis will not go away, it might take some time and some emotional strain. You are also bound to be shocked at the discovery, so be ready for it.

7. An early diagnosis is probably the best thing that can happen to a sufferer of this disease. It is possible to slow it in its early stages and lead a normal life. This way, it gives you the best opportunity to fight it.

8. As people are different, treatments favour some and not others. It will take time before you land the formula that works for you. Stay on the experimental path and stay optimistic. Patience will eventually pay.

Stay in the know and you will be a step before arthritis. That way it will be struggling to bring you down, not you struggling to stay abreast with it.

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Just because you have finally reached retirement age does not mean that you cannot look and feel your best. There are many available products which you can use that not only help you to look better, but also help you to feel better.

Retirement should not be just a time to fall apart and die. You do not have to let the body aches and aging process take over your life just yet. There are many product available that help you to look and feel your very best.

As their bodies age, many people begin to feet the effects of arthritis. While doctors do not know all the causes of arthritis, injuries and age seem to be closely related to the ailment. Many people feel that arthritis remedies including such products as glucosamine can help you to live without arthritis pain for many years.

Another problem that often hits people at this age is the aging of the skin. Wrinkles and age spots develop and are difficult to cover, even with the best of makeup. Rather than try and cover those wrinkles, try using anti aging skin care products to stay young looking.

Retirement should be one of the most fun times of life. You have worked hard for many years, you have raised a family and now you have free time. This should be the time that you are able to do as you please. Your life should not be ruled by the aches and pains or arthritis nor should it be limited by the aging process.

If you choose the correct products, you will be able to look great and feel even better. Not only can you have younger looking skin, but your body does not have to suffer from the pain of arthritis. Use those retirement years to learn a new hobby. Play tennis or golf. Go fishing or swimming. Take some time to travel, both in your homeland and abroad. Book a cruise and sail the ocean, visiting many exotic ports of call. Take the time to visit old friends or family or simply stay around home and do nothing at all. You have earned retirement, now enjoy the time.

How will you spend your retirement years? Will you be the little old wrinkled up lady that is bent over with the arthritic pain or will you choose to be the picture of older health with young looking skin and able to move and do as you please. Retirement does not have to be filled with the pain or arthritis or plagued by looking old.