The Strange Way Botox May Help Knee Pain

Photo: Getty Images

Pain in your knee? You might want to consider getting Botox. No, really. A new study published in the American Journal of Sports Medicine looked at people who had a type of knee joint pain common in active people. The researchers found that when a Botox-like substance was injected into the tensor fascia latae (TFL)—the muscle that runs along the side and front of the hip—and followed by three months of physiotherapy, 69% of subjects required no further medical intervention.

“The overlying problem is that the TFL is over active, and the back of the hip, the gluteus medius, is underactive, and that leads to a tight band on the outside of the thigh, rubbing on the knee, pulling of the knee cap over, and fat pad impingement,” explains one of the researchers, Dr. Sam Church, a knee surgeon at Fortius Clinic in London. “But it seems that while the hip muscles were turned off [due to the injection], the muscle they could use to keep steady, the gluteus medius, got stronger. And when the hip muscles came back on line, both muscles were parallel [in strength] rather than one being weak.”

RELATED: 10 Exercises for Healthy Knees

So what does all of this mean? It means it’s time to beef up your backside—especially since people tend to be very weak in that area, and overactive elsewhere. (We are talking to you, runners and cyclist!) Also important, stretching out that iliotibial (IT) band, or thick tendon that runs from the hip to the knee, says Dr. Church.

Here’s why: Not only are IT band issues typically a result of weak glutes and hips, but when the IT band gets tight or inflamed, you’ll often feel pain in the knee. See the connection there?

To help rev up that rear and relieve some of the pressure on the IT Band, we got Chicago-based physical therapist David Reavy, owner of React Physical Therapy, who has worked with such elite athletes as Matt Forte, Dwyane Wade, and Swin Cash, to recommend a few moves. Work these into your routine ASAP, and your butt, hip, knee—OK, your entire body—will thank you.

RELATED: 7 Running Injuries and How to Avoid Them

To toughen up that butt

Clams

Lie on your right side with hips and knees stacked. Bend both knees, keeping heels together. Open knees like a clam, keeping heels together, and hold for 5 seconds; close slowly. Be sure not to roll backwards through the pelvis. Do 10 reps and then switch sides. Make it harder: Add a resistance band just above knees.

Photo: Courtsey of REACT

90-90s
Lie on your left side with left hip and knee at a 90-degree angle and right leg pointing forward and directly above left leg. Position One: Keeping hips stacked and right foot flexed, lift leg up. Do 10 reps. Remember to keep the arch of foot parallel to the ground and avoid rolling backwards. Position Two: With right foot pointed, lift right leg up. Again, keep the arch of foot parallel to the ground, avoid rolling backwards and keep hips stacked. Do 10 reps. Position Three: Keeping your right foot flexed, rotate leg so that your toes turn down for a count of two; keep hips stacked. Return to start. Do 10 reps, and then repeat sequence with other leg.

Photo: Courtsey of REACT

Glute Activation Step Backs
Stand with feet shoulder-width apart. Bend left leg slightly, keeping knee over heel. Bring the right foot back and behind the left leg, while keeping shoulders square facing forward. Rotate upper body toward left leg as you shoot hip out to the right. Switch legs and repeat. Do 10 reps per side.

Photo: Courtsey of REACT

RELATED: 25 Exercises You Can Do Anywhere

To lengthen that IT band

IT Band Release
Lie on your right side with a foam roller between your hip and knee. Slide your leg up and down along the roller, moving it from the top of the knee to the base of the hip. Repeat in 30-second intervals for two minutes. To focus on a specific spot, stop rolling when you feel a tender spot and then bend knee at a 90-degree angle, and then straighten it. Repeat motion for 10-15 seconds. You may repeat this with other areas along the IT band.

Photo: Courtsey of REACT

IT Band Stretch
Lie on your left side with knees bent. Reach your left arm back to grab your right foot and pull it toward your butt, bending the knee even more as you extend the hip. Place your Achilles tendon of the right leg on top of the patella of the left leg and push your knee down. Hold stretch for 30 seconds to 1 minute.

Photo: Courtsey of REACT

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Head Lice No Cause for Panic, Expert Says

MONDAY, March 7, 2016 (HealthDay News) — Most parents have at one time or another received the dreaded school notice: a case of head lice has been detected in your child’s class.

But, an expert says, there’s no need to panic.

Head lice don’t carry diseases or indicate poor parenting or housekeeping, said Dr. Karen Sheehan, a pediatric emergency medicine specialist at the Ann & Robert H. Lurie Children’s Hospital of Chicago.

Children should not be sent home from school early if they’re found to have lice, Sheehan added. The insects move by crawling and cannot hop or fly. So, as long as teachers keep children’s heads apart, there should be no further spread of lice, she explained.

Would you recognize the signs of lice? Most are accurately diagnosed when a live louse is seen moving, Sheehan said in a hospital news release.

Seeing nits, or lice eggs, within one-quarter-inch of the scalp suggests a person has lice, but does not confirm an infestation, she explained. If the nits are more than one-quarter-inch from the scalp, it is likely an old infestation or not lice at all, but rather dandruff or dirt.

A recent study reported that lice in at least half of the United States have developed resistance to pyrethroids, an over-the-counter treatment product.

So, if you believe your child may have lice, ask your pediatrician if you need a prescription to treat them. There are several effective prescription remedies available, Sheehan said.

Lice can also be removed using a fine-tooth comb or a commercial hair treatment service.

If head lice are discovered on one family member, all household members should be checked, according to the American Academy of Pediatrics. The use of home pesticides is not recommended, but washing pillow cases and treating natural bristle hair brushes are reasonable measures, the group said.

Also, teaching children not to share personal items such as combs, brushes and hats can help reduce the risk of head lice. Regular checks by parents can help with quick detection and treatment of head lice infestations.

More information

The U.S. Centers for Disease Control and Prevention has more on head lice.

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Simple Changes in Bad Neighborhoods Might Lower Teen Murder Rates

By Steven Reinberg
HealthDay Reporter

MONDAY, March 7, 2016 (HealthDay News) — Sprucing up inner-city neighborhoods might at least help lower teen homicide rates, a new study suggests.

Street lighting, parks, public transportation and cleaned-up vacant lots were associated with a lower risk of murders of 13- to 20-year-olds in Philadelphia, researchers say.

“We know that where you live and where you spend time is important in determining a lot of different health outcomes,” said lead researcher Dr. Alison Culyba, an instructor in adolescent medicine at the Children’s Hospital of Philadelphia. “We need to identify targeted strategies across a range of intervention points in order to protect our youth,” she added.

Murders of young people were more likely to occur in poorer inner-city neighborhoods, the study found. Vacant lots and abandoned buildings “play a part in the disarray of these neighborhoods,” Culyba said.

However, this study only tried to identify factors in the physical environment that might affect murder rates and could be targeted to lower those rates, Culyba said.

“We don’t know right now whether or not intervening to change some of these features may lead to decreases in homicide,” Culyba explained.

“Youth violence is a huge epidemic in the U.S. right now,” she added.

More than 2,000 young people (aged 13 to 20) were murdered in the United States in 2013, with the highest concentration in cities, according to background information in the study published online March 7 in the journal JAMA Pediatrics.

To see how neighborhood features figured in teen murders in Philadelphia, Culyba and colleagues looked at the surroundings of 143 murder victims (average age 18) and 155 teens on streets in other neighborhoods who were not killed.

The researchers created 360-degree panoramic images of the neighborhoods from the street corner closest to each murder. They then matched those with similar street-corner images taken at roughly the same time of day showing another youth who wasn’t killed. Culyba’s team examined the images for 60 environmental elements.

The investigators found lower murder rates were linked with street lighting, walk/don’t-walk signs, painted crosswalks, public transportation, parks and well-maintained vacant lots.

The odds of a teen being killed were higher in places with stop signs, houses with security bars or gratings, and private bushes or plantings, the researchers concluded.

Although reducing violence is a complex problem, Culyba thinks that low-cost neighborhood upgrades might have significant benefits.

Of course, such changes would require a commitment by federal and local governments, as well as private investment, she said.

Also, the authors noted that their study is limited in that it has no personal or contextual details about the victims.

Still, Gilda Moreno, a clinical psychologist at Nicklaus Children’s Hospital in Miami, thinks Culyba makes a good point.

“If your surroundings are prettier, you’re going to act differently,” she said.

In blighted neighborhoods, people may feel there’s no use in caring since conditions can’t be changed, Moreno said. “Sometimes people act as their environment is.”

Changing these external features may be a good start, Moreno said. But people also have to change how they look at their neighborhood, she suggested.

“People need to have a stake in changes being made. If not, [the city is] going to put up lamp posts and they’ll throw rocks at the lamp post,” Moreno said.

To make a difference, residents need to buy into these changes and take pride in their neighborhood, Moreno said.

More information

For more on youth violence, visit the U.S. Centers for Disease Control and Prevention.

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7 Water Bottles Health’s Editors Swear By

How does drinking enough water impact your health? Oh, let us count the ways: having a well-hydrated body aids in digestion, makes your skin glow, boosts your mind and mood, quiets snack cravings…we could go on, but you get the idea. Needless to say, hydration is something the editors of Health all care about. And as it turns out, we all have different ways of doing it. Check out the variety of water bottles we keep at our desks and in our gym bags, and consider choosing one for yourself.

Nathan Big Shot Narrow Mouth Bottle ($13; amazon.com)

“I have like 5 of these in different colors and I keep them at work, at home, in my gym bag, etc. I like to know exactly how much water I am drinking (or not drinking) each day. Recently, I got the Nathan Flex Shot — same great concept, except you can fold the bottle up when you are done, which makes it great for travel.” —Rozalynn Frazier, Fitness Editor

Photo: amazon.com

S’well Bottle ($35; nordstrom.com)

“I love that S’well bottles stay cold OR hot for hours after you fill them up. And they come in so many cute designs!” —Kathleen Mulpeter, Senior Editor

“I heart my S’well bottle! It’s aluminum, so it doesn’t flavor my water, it’s easy to clean (I toss it in the dishwasher), it works well with hot and cold beverages, and the shape is great for my bag. Did I mention it fits in the holder on my spin bike too?” -Beth Lipton, Food Director

Photo: nordstrom.com

Sigg Traveller Water Bottle ($21; amazon.com)

“I like the old classic Sigg aluminum bottle. I have a couple of them. I think it works because it’s durable (pretty much indestructible, actually; mine have plenty of dents and nicks and scratches, but they get the job done), the screw cap secures tight and doesn’t leak, it keeps water pretty cold, and it’s the right size to slide into the bottle holder on my bike or in the cup holder in the car. You have to unscrew the cap to drink, but I’m not a big fan of the kind of bottles with rubber spouts or tubes or straws to suck on.  I think those are hard to clean, whereas the Sigg bottle and the screw cap clean pretty easily.” —Michael Gollust, Research Editor

Photo: amazon.com

Contigo Autospout Addison Water Bottle ($13; amazon.com)

“When I’m working out, I love that I can just click the button and the spout comes up for a quick sip (no need to tilt). The straw can be a little problematic to clean sometimes, but I just swipe it down with a q-tip and vinegar.” —Dwyer Frame, Contributing Editor

Photo: amazon.com

Klean Kanteen Classic ($21; amazon.com)

“I am suuuuuuper anti-plastic so I have a huge collection of stainless steel bottles for my whole family, kids included. (Stainless steel is the safest material for food and drink, better than plastic or aluminum.) My favorite is the classic Kleen Kanteen 27-ounce bottle. The wide mouth makes it easy to drink from, clean, and add ice cubes to (though I prefer room temp myself). It fits in a cup holder and holds enough for a long car trip. It comes in great colors (I have them in pink and blue). And if you don’t like the loop cap, you can swap in a sport top with spout or an all-stainless cap (for folks who don’t want any plastic at all). You can even put the bottle (not the cap) in the dishwasher!”—Jeannie Kim, Executive Deputy Editor

Photo: amazon.com

Corkcicle Canteen ($28; amazon.com)

“The Corkcicle canteen is triple-insulated, so it keeps your drinks cold for what seems like an eternity. There have been times when I’ve filled it to the brim with ice (thanks to its wide mouth, it can actually fit ice cubes!), and those same ice cubes are still there the next day. I like my water ice cold, so I appreciate a bottle that follows through on its promises.” -Alison Mango, Editorial Assistant

Photo: amazon.com

CamelBak Podium Big Chill ($23; amazon.com)

“I sometimes go on bike rides that last upwards of 3 or 4 hours, so I need a bottle that can keep my water cold for an extended period of time and fit in my bike’s bottle holder. The insulated CamelBak Podium Big Chill has been my go-to for years. It never leaks—the Jet Valve releases water only when you squeeze the bottle, and there’s also a rotating on/off switch. I also appreciate that my water never tastes like plastic, the way it sometimes does with other bottles.” —Christine Mattheis, Deputy Editor

Photo: amazon.com

 

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See All the Hot Swimsuits Hannah Davis Wears In the April Issue of Health

If anyone’s qualified to offer up swimsuit styling tips, it’s Hannah Davis. Not only is the 25-year-old a Sports Illustrated Swimsuit model (she graced the cover of last year’s issue) and a co-host with Tim Gunn on Lifetime’s Project Runway: Junior, where she doles out advice to the next generation of fashion designers; she also grew up in Caribbean paradise, on the island of St. Thomas in the U.S. Virgin Islands.

Her best advice? When it comes to a bikini, sometimes less (fabric) is more. “People think that if you wear giant bottoms, you can have full coverage,” she tells writer Amy Spencer in our April issue, on newsstands this Friday. “But full coverage makes everyone look wider! Less is more in a lot of cases.”

RELATED: 6 SI Swimsuit Models Share Their Tips for Never Skipping a Workout

And when it comes to swimsuit styles, Hannah is an advocate for the classic string bikini: “You can wear [the bottoms] forever because you can just adjust the sides,” she says. “You go on a vacation, you’re having fun, you’re like, ‘Ok, I’m gonna loosen this up a bit!'”

For more swimwear inspo from Hannah (plus super-cute poolside accessories), check out these shots from our April photo shoot.

Red hot

Hannah’s wearing: Lisa Marie Fernandez bikini ($80 for a similar style; barneyswarehouse.com).

Photo: James White

Not-so-basic black

Hannah’s wearing: Michael Kors Collection swimsuit ($436; saksfifthavenue.com).

Photo: James White

Pretty in purple

Hannah’s wearing: Lisa Marie Fernandez one-piece swimsuit ($380, net-a-porter.com). Beth Richards robe.

Photo: James White

One-piece wonder

Hannah’s wearing: Duskii one-piece swimsuit ($180, duskii.com).

Photo: James White

 

Poolside style

Hannah’s wearing: Natalie Chapman blazer ($455, nataliechapman.com.au). Flagpole Swim Barkley bikini bottom ($350, flagpoleswim.com). Stuart Weitzman Nudistsong sandal ($398, nordstrom.com).

Photo: James White

Styling by Karen Shapiro. Hair by Davy Newkirk using Kératase at The Wall Group. Makeup by Lauren Andersen for Avon at The Wall Group. Manicure by Allison Burns at Crosby Carter Management. 

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Chemical-Free Cosmetics May Be Safer for Teen Girls, Study Suggests

MONDAY, March 7, 2016 (HealthDay News) — Switching to chemical-free cosmetics and shampoos quickly lowers levels of hormone-disrupting chemicals in the bodies of teen girls, a new study reports.

Chemicals widely used in personal care products — including phthalates, parabens, triclosan and oxybenzone — have been shown to interfere with the hormone system in animals, the researchers explained. These chemicals are found in many fragrances, cosmetics, hair products, soaps and sunscreens.

“Because women are the primary consumers of many personal care products, they may be disproportionately exposed to these chemicals,” said study lead author Kim Harley. She is associate director of the Center for Environmental Research and Children’s Health at the University of California, Berkeley.

“Teen girls may be at particular risk since it’s a time of rapid reproductive development, and research has suggested that they use more personal care products per day than the average adult woman,” Harley added in a university news release.

The study involved 100 Hispanic teens who used makeup, shampoo and lotions that were labeled free of chemicals for three days.

After this short break from their regular products, levels of the hormone-disrupting chemicals in the girls’ urine fell between 27 percent and 45 percent, according to the analysis.

The study was published March 7 in the journal Environmental Health Perspectives.

According to the researchers, cosmetics and personal care products are not well-regulated in the United States, and it’s difficult to get data about their health effects.

However, there is increasing evidence linking hormone-disrupting chemicals with behavioral problems, obesity and cancer cell growth, the researchers said.

“We know enough to be concerned about teen girls’ exposure to these chemicals. Sometimes it’s worth taking a precautionary approach, especially if there are easy changes people can make in the products they buy,” Harley said.

More information

The Campaign for Safe Cosmetics has more on cosmetics and chemicals.

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Football’s Concussion-Prevention Efforts May Be Spurring More Leg Injuries

By Alan Mozes
HealthDay Reporter

MONDAY, March 7, 2016 (HealthDay News) — Concussion-prevention rules for college football players may have led to an unintended consequence — an increase in knee, thigh and ankle injuries among players, new research suggests.

“Of course concussions sustained in football can be devastating,” said study author Dr. Robert Westermann, chief resident at the University of Iowa in Iowa City. “But so can lower extremity injuries, which are the leading cause of disability among NFL [National Football League] retirees. So, it’s important to protect the whole athlete.

“But our work,” he added, “suggests that a change in the pattern of play following the new push to reduce head-to-head contact among players may be causing an increase in injuries lower down the body.”

Westermann emphasized that the study was only designed to find an association between the change in football rules and an increase in leg, joint and foot injuries. It did not prove cause-and-effect.

Westermann and his colleagues presented their findings Saturday at a meeting of the American Orthopaedic Society for Sports Medicine, in Orlando, Fla.

At the time it adopted its latest concussion-related guidelines, National College Athletic Association (NCAA) data showed that college players had experienced more than 41,000 injuries overall between 2004 and 2009. Concussions — also known as mild traumatic brain injuries — accounted for more than 7 percent of that total, according to the NCAA.

With that in mind, the NCAA adopted several new contact rules for football in 2008. They included banning the so-called “horse-collar tackle,” in which a player is pulled down by his collar or shoulder pad, and protecting players from the two-on-one “chop block” maneuver. The revised rules also called for a focus on getting rid of all blows to the head, and all hits on defenseless players, according to the NCAA.

The new study included information collected by athletic trainers and physicians between 2009 and 2014 as part of the NCAA Injury Surveillance System.

Lower extremity injuries included those affecting the leg, knee, ankle and foot, the study authors said. Concussion risk information was also gathered.

Roughly 2,400 leg, joint or foot injuries serious enough to cause a time-out in play occurred during the study time frame. About a third involved injuries to the knee, while slightly less than that involved ankle trouble. Nearly 60 percent were the result of player-to-player contact, the researchers reported.

Concussion risk remained relatively “stable” over the study period, the research revealed. But, leg, joint and foot injuries rose from about 9 per 1,000 “athletic exposures” during the 2009-10 seasons (before the new rules were implemented) to nearly 13 per 1,000 by the 2013-14 season, the study showed.

Why? The investigators suggest that the rise may have been prompted by the effort to avoid head-to-head contact, causing players to target other players lower on the body.

Westermann stressed that the study doesn’t prove causation. But, he added, “it does seem that lower extremity injuries have gone up since we made the rules to prevent head injuries.

“Now I can’t say what should be done about this,” he continued. “I’m not part of the NCAA rules committee. But I do believe that when you make a big change like this you need to study the effects and ramifications it can have on athletes. So that’s what we’ve done.”

Dr. Katherine Coyner is an assistant professor in the department of orthopaedic surgery at UT Southwestern Medical Center in Dallas. She said Westermann’s research team may be on to something.

It’s hard to establish a direct correlation from one study. And there are multiple variables that can come into play, she said.

“However the idea that rule changes may have affected the nature of the injuries does make sense conceptually,” Coyner added.

But does a lower concussion risk inevitably mean raising the risk for other types of injuries? Coyner said no one really knows yet.

“The truth is that football is a contact sport, more than any other,” she said. “That’s part of the game, and as a result we always see injuries. So it may be that we have to do a kind of a risk-benefit analysis.

“Certainly arthritis risk due to lower extremity injury is not desirable,” she added. “But neither are the lifelong consequences of traumatic brain injury. It may mean placing more of a focus on which one is more important. Only time will tell.”

Findings presented at medical meetings are generally viewed as preliminary until published in a peer-reviewed journal.

More information

There’s more on concussion rules at the U.S. National Collegiate Athletic Association.

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Candidates With More ‘Mature’ Faces May Get Older People’s Votes

SUNDAY, March 6, 2016 (HealthDay News) — Is there something about Donald Trump’s face that’s winning Republican presidential primary votes? Or Hillary’s or Bernie’s on the Democratic side?

The answer may depend on the age of the voter, a new study suggests.

Research has shown that voters gravitate towards politicians who look more competent, but this tendency is stronger among younger adults, according to a small study published March 1 in the journal Cogent Psychology.

Researchers showed campaign portraits used during 2010 and 2012 U.S. Senate races to two groups of potential voters: 24 university students, aged 18 to 24, and 16 seniors, aged 68 to 90.

Participants were asked to rate the candidates in terms of competence, trustworthiness, attractiveness and “babyface.”

Older voters responded to a competent appearance but they also preferred older-looking candidates, said researchers from Indiana’s Anderson University and Brandeis University in Waltham, Mass.

Understanding this difference between older and younger voters is important since older people are more like to get out to the polls, the study authors said.

“We found that as people age, they prefer different facial characteristics in politicians. As one might expect, older adults prefer mature-looking faces,” Dr. Robert Franklin, of Anderson University, said in a journal news release.

“However, younger adults did not prefer mature or babyish candidates, but they were much more likely to vote for candidates that they thought looked competent-looking,” Franklin said. “These findings are very important in understanding how aging affects voting behavior generally, especially as older adults are a critical voting population.”

The study has limitations, among them its small size. But the findings may offer food for thought as the U.S. presidential election unfolds this year.

More information

The American Psychological Association provides more information on the psychology of voting.

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Top butt-lifting exercises

 

You want a perky butt, but not sure where to start? These exercises and classes are you're saving grace.

The ultimate butt workout builds a perky butt that not only looks the biz in skinnies but is structurally sound to facilitate optimal biomechanical function (free and resilient movement to you and us). You had no idea how important your booty was, right?

Try: Barre  

The Barre class trend is sweeping the nation with the ballet-based workout becoming available at gyms and Pilates studios across the country. The classes aim to increase core strength, develop long, strong limbs and increase flexibility. If you don’t have access to a Barre class, you can channel some of the signature moves in your own workout.

How: You need to complete a range of butt-lifting exercises!
a.    Supine glute bridges – 20 reps with 20 small pulses at the top
b.    Single-leg glute bridges – 5 each leg (ensure hips are level)
c.    90-degree back extension – 10 reps (squeeze at the top)
d.    Cable kickbacks – 10 reps each leg

Try to contract your glutes throughout the entire exercise. Keep the movements small and controlled to focus on the constant tension.
Why: Most people have under-developed glute muscles and struggle to activate their glutes properly during exercises. This can result in not only a flat derriere, but also injuries, which is why glute isolation work is important.

INSIDER’S TIP: You should aim to do these 10 times per week if you really want to build a booty.

NEXT: 22 exercises for a Brazilian butt.

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As Caregivers, Women May Suffer More Than Men

SATURDAY, March 5, 2016 (HealthDay News) — Women may face greater challenges than men when looking after a loved one with a serious illness, a new study suggests.

While caregiving has traditionally been handled by women, more men are assuming that responsibility, the researchers noted.

“As illnesses progress in loved ones, family caregivers become increasingly responsible for hands-on care, such as assisting with bathing and hygiene, as well as cooking, cleaning and managing bills,” said study author Karla Washington. She is an assistant professor with the University of Missouri’s department of family and community medicine.

“This extra load of responsibility can cause serious stress in a caretaker’s life. While more men are assuming caregiving roles, we found significant gender differences in how the caretaking experience is perceived,” Washington added in a university news release.

The researchers questioned more than 280 family caregivers and found that women had much lower self esteem, less family support and more harmful consequences in terms of their health and schedules than men.

The findings may reflect society’s gender biases, according to Washington.

“Taking care of sick family members is a responsibility often expected of women,” she said. “If society views female caregivers as being naturally better at caregiving, other family members might be less likely to think the caregiver needs support, and thus less likely to offer it.”

Gender expectations might also make men less likely to report the challenges they face as caregivers, Washington noted.

The study was published recently in the Journal of Palliative Medicine.

More information

The American Academy of Family Physicians has more on caregiver health and wellness.

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