Running is not detrimental to #knee #cartilage

1. The general health benefits of #running are well-established, yet concern exists regarding the development and progression of #osteoarthritis
A recent research examined the effects of running on knee cartilage using MRI scans.
2. Knee cartilage thickness and volume decreased immediately after running, with declines ranging from 3.3% for weight-bearing femoral cartilage volume to 4.9% for patellar cartilage volume.
#MedTwitter #marathon #fitness
3. Tibiofemoral cartilage T2 relaxation times on MRI recovered to baseline levels within 91 minutes.
Existing cartilage defects were unchanged within 48 hours post-run, as examined on MRI.
4. Conclusions
*There is very low certainty evidence that running immediately decreases the thickness, volume, and relaxation times of patellofemoral and tibiofemoral cartilage.
*A single bout of running is not detrimental to knee cartilage.
doi.org/10.1016/j.joca…
5. Several studies have supported the fact that running is safe for knees for recreational runners (who typically run on 4-5 days a week with total mileage of 25-50 km).
It is preferable to have 2-3 non-running days a week- on these days, #StrengthTraining should be done.

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Carefully observing a patient walk 20 steps gave clue to diagnosis

1. 1995- I was a first year MD Medicine PG at CMC Vellore.
35-yr old Rami from Midnapore had got admitted with fever of unknown origin of 6 months duration. No cause had been identified despite extensive tests.
2. It was a hectic day with 8 new patients admitted from emergency. It was past midnight, when I managed to examine Rami. During examination, she took a washroom break, for which she walked about 20 steps in all. After she returned to her bed, she was breathless .
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Head Injury increases the Long-term Mortality Risk in Community-Dwelling Adults

1. Even a single #head #injury could increase the risk of all-cause #death by 66%, as reported in a long term (27 years) follow up study conducted in USA.
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Moderate-to-heavy #alcohol consumption increases the risk of #stroke in #younger adults

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A study was conducted in Korea to determine the association between alcohol & stroke.
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Female physicians have higher infertility rates and pregnancy complications

1. Female physicians, particularly surgeons, have a significantly greater incidence of #miscarriage, #infertility, and #pregnancy complications compared to the general population
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