What Is the “Best” Kind of Brain Tumor to Have?

Any brain tumor is bad news, but there are the deadliest and then there are “good” ones – from a relative standpoint, of course.

If you could choose a particular brain tumor to have, there is actually a certain kind that qualifies as being the “best.”

Or, to put it another way, the least life-threatening. (more…)

Hearing Aids Making Tinnitus Worse? Causes & Solutions

“Hearing aids should not be causing one’s tinnitus to worsen and if they do, a visit to the audiologist is necessary,” says Rivka Strom, AuD, CCC-A, Director of Audiology, Advanced Hearing NY Inc.

“The audiologist should check that the hearing aid is not set inappropriately loud,” continues Strom.

Hearing Aid Adjustments

“It is important that the audiologist perform a test called real ear measures (REM) to ensure appropriate settings of the hearing aid and to make sure the hearing aid never gets too loud to the point where it can exacerbate the tinnitus,” explains Strom.

“Further, there is a condition known as hyperacusis which is highly comorbid with tinnitus.

“Hyperacusis refers to sensitivity to loud sounds. Severe hyperacusis occurs when an individual has difficulty tolerating everyday sounds which do not seem loud to others.”

Hyperacusis is not a disorder that’s caused by anxiety or the so-called all in a person’s head. It’s a real condition, and it’s not just a mere dislike of certain sounds.

Many people with hyperacusis do indeed suffer from tinnitus.

So while plugging one’s ears at the sound of piercing screams from playing children or an ambulance siren do not reflect hyperacusis, plugging one’s ears to the sound of leaves rustling, the sound of two people on TV kissing, or the sound of a fan would be very suggestive of hyperacusis, or at least, selective hyperacusis.

Sometimes, the noise of everyday sounds can literally cause ear pain in someone with severe hyperacusis. Here are examples of those sounds:

• Loud Music: Concerts, loudspeakers, or headphones at high volumes.

• Traffic Noise: Car horns, engine noise, and sirens.

• Appliances: Vacuum cleaners, washing machines, and dishwashers.

• Construction Sounds: Hammering, drilling, and heavy machinery.

• Office Noises: Keyboard typing, phone ringing, and printer sounds.

• Public Announcements: Loudspeakers in stations, airports, or shopping centers.

• Crowded Places: Background noise in restaurants, malls, or busy streets.

• Household Items: Blenders, coffee makers, and hair dryers.

• Animal Sounds: Barking dogs, chirping birds, or loud animal calls.

• Emergency Alarms: Fire alarms, car alarms, and emergency vehicle sirens.

• Social Interactions: Loud talking, laughter, or shouting in social settings.

“If an individual with tinnitus has hyperacusis and it is not addressed prior to wearing hearing aids, it can appear that the hearing aids are worsening the tinnitus — when it can just be that having access to everyday sounds from the hearing aid could result in the experience of hyperacusis and possibly tinnitus,” says Strom.

Dr. Strom is a member of the American Speech Language and Hearing Association and has received several awards including Brooklyn College’s Excellence In Audiology Award.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer. 

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Top image: Shutterstock/Andrey_Popov

Can Martial Arts Class Loud Yelling Cause Hearing Loss ?

Can all those loud “Kiiii-aiiii!”s actually harm the hearing of students in martial arts classes?

A male adult’s booming voice can be quite loud, while the children – especially eager novices – are capable of emitting very loud, shrill shrieks on command or during specific portions of a “kata” – choreographed punches and kicks against imaginary opponents.

I have many years of martial arts training in a variety of schools. Students are encouraged to yell/shout as loud as possible, especially the kids, who will eat this encouragement up.

Some instructors will bellow, “Louder! Louder! I can’t hear you!”

The fair question, then, is if over time, one-hour martial arts classes will result in hearing loss. A lot of shouting also comes from instructors.

“Any form of yelling that is prolonged can potentially affect one’s hearing, although it depends on the intensity and duration of the yelling,” says Rivka Strom, AuD, CCC-A, Director of Audiology, Advanced Hearing NY Inc.

“In general. listening to any noise at an unsafe level for an extended period of time is damaging,” continues Strom.

“The higher the level of noise and the longer individuals are exposed to it, the greater the risk of suffering harm from it.

“Guidelines were established by the National Institute for Occupational Safety and Health (NIOSH) regarding exposure levels to loud noise, and this includes any noise including yelling and screaming.

“Although intensity and duration are the main factors here, it should be noted that frequency [a measure of the pitch of a sound] may have some minimal influence of the extent of the damage, with higher frequency sounds worse than low frequency sounds.”

Whether loud yelling and shrieking in a karate class causes gradual hearing loss, or repeated attendance at live concerts or nightclubs does, one thing is a constant: The noise-induced hearing loss is insidious and stealthy.

When you get a sunburn, you feel and see it. When the nerve cells in the inner ear, that capture sound waves and transmit them to the brain for interpretation, are irreversibly damaged, there is no pain or visible damage.

Think of gradual hearing loss like gradually increasing visual impairment.

Your once 20/20 vision is now 20/40, but you may not realize it until you have a vision test. But you can still function pretty well with 20/40 vision.

Likewise, with mild hearing loss, you can still function very well. All you need to do is ask people to repeat what they said, or you might move closer to them to hear them better, or raise the volume of the TV. It doesn’t occur to you that this is hearing loss.

If your martial arts school is loud and shrieky, wear ear plugs.

You can also seek out a karate school that does not emphasize excessive yelling.

This will likely be the case in a program in which tournament competition is NOT a big part, since kata competitors are encouraged to holler as loud as possible.

On the other hand, schools that emphasize street self-defense often encourage female students to yell as loud as possible in staged assaults.

I would say, though, that martial arts schools that display a ton of trophies in their front windows and boast “champions” will be the loudest.

I have actually heard tournament judges say that loudness is a key factor in deciding who gets the first place kata trophy.

Dr. Strom is a member of the American Speech Language and Hearing Association and has received several awards including Brooklyn College’s Excellence In Audiology Award.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer. 
 

Tinnitus Suddenly Starts in One Ear but No Loud Noise Exposure: Causes

What are the likely causes of tinnitus suddenly affecting one ear when you have not been exposed to loud noise like a concert or auto racing event? (more…)

Five Year Old Constantly Clears Throat: Causes, Solutions

“In general, throat clearing is a non-specific a symptom of many things,” says Dr. Bande Virgil, MD, a board certified pediatrician, professor of clinical pediatrics, and Amazon Best Selling Contributing Author of “The Chronicles of Women in White Coats.”

(more…)

Why Do Infants Scratch Their Heads?

Why shouldn’t an infant be scratching his or her head?

After all, adults and kids do it all the time: There are many reasons an infant and any other age person will sometimes scratch their head.

The head is covered by skin. And skin is prone to itching. And when something itches, what do we do? We scratch it.

An infant’s fingers can make their way to his or her head and scratch an itchy area, even though the movements won’t be as coordinated due to the infant’s lack of neuromuscular development.

This may create the illusion that something worse is going on, when all it is, is a very harmless little itch.

A bug could have momentarily landed on the scalp. Are there houseplants in the baby’s room?

Houseplants sometimes attract tiny gnat-like flies. However, this is not the most likely reason for the itching—only a very unconsidered one.

Common Reasons

“Most infant head scratching is normal,” says Joel Gator Warsh, MD, of Integrative Pediatrics and Medicine, Studio City, CA, and part of the pediatric staff of Cedars-Sinai Hospital.

“Like any adult, there can be a variety of reasons babies scratch their head including behavior, irritation, dry skin and infections.

“The most common cause of an itchy scalp in infants is seborrheic dermatitis, which is a common dermatologic condition with dry, flaky skin of the scalp in babies. It looks crusty and yellow.”

This is the same condition that causes dandruff in adults. Because adults (most, anyways) have much more hair than infants, the distinctive appearance of seborrheic dermatitis is concealed.

On a baby with very little hair, it will look more serious than it actually is. But never diagnose it yourself. Always have a doctor make the official diagnosis.

Dr. Warsh also says, “Infection of the hair follicles called folliculitis can lead to inflammation and an itchy scalp.

“Eczema, which is a condition of dry skin and moisture loss, can lead to inflammation of the scalp leading to constant scratching.”

Getting an Infant to Stop Scratching His Head

“Try using coconut butter, shea butter or a topical emollient,” says Dr. Warsh.

“A shampoo or product can cause a chemical dermatitis leading to an itchy scalp.

“I would also consider a vitamin and nutrient deficiency such as B vitamins, zinc or selenium which can affect hair growth and the skin.”

Dr. Warsh and his Studio City, Los Angeles clinic treat a wide array of common pediatric issues using holistic and conventional treatments. He works with nutritionists, naturopaths, Ayurvedic practitioners, acupuncturists and more.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  

BOTH Wrists Hurt Every Time You Do Pushups: Causes, Solutions

How is it that every time you do pushups, BOTH wrists end up hurting, yet you have no problem doing other pushing routines at the gym?

Though carpal tunnel syndrome can cause a pain in both wrists, it isn’t nearly the most likely cause, especially if the only time you feel the pain is during pushups.

Furthermore, carpal tunnel syndrome, if it causes pain during pushing exercises, will also likely be causing other symptoms such as numbness and tingling in the fingers and/or forearm tingling and pain – regardless of activity.

There is a much more likely cause of experiencing pain in both wrists upon doing pushups.

“The tendons and ligaments from the hand to the forearm are what gives the wrist its flexibility,” begins J. Mark Anderson, MD, DABFM, of Executive Medicine of Texas and who is board certified in family medicine.

“If pain is in both wrists during pushups, it’s often due to a lack of flexibility,” says Dr. Anderson.

“People tend to lose flexibility in their wrists unless they are doing regular exercises involving the wrist or stretching and flexibility exercises targeting the wrists.”

Flexibility Exercises

Pushups will improve flexibility in the wrists, since this exercise requires sustained wrist extension – unless you do variations such as pushups on your knuckles, fingertips or using handles or dumbbells.

But these variations, if done for every set, will deprive the joint from developing more flexibility. Do them for some sets but not all.

What you can also do, however, is simply pull (gently) your hand towards the topside of your forearm with the other hand and hold for 30 seconds, a few times every day. This will loosen things up.

A more comprehensive approach is to take up yoga. Many positions involve sustained wrist extension and will strengthen the joint.

“Pain in the wrist during exercise means the body is trying to warn the person of a problem,” says Dr. Anderson.

“Heeding the warning by changing position, modifying the exercise or stopping exercise altogether may keep the person from developing a more serious condition,” if the situation is more than just a benign case of stiff joints.

“If you experience pain in the wrist that is not immediately relieved when the exercise has stopped, it may require icing and/or bracing.

“If the pain is intense or lasts longer than 48 hours, seek the attention of a medical professional.”

Dr. Anderson is coauthor of the award-winning book, “Stay Young: 10 Proven Steps to Ultimate Health,” and host of the nationally syndicated Staying Young Show which goes to podcast as Staying Young Show 2.0.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  

Pain in Only One Wrist when Doing Pushups: Most Likely Cause

Can you bench press without a problem, but when it comes to pushups, you always get pain in only one wrist? And it’s enough pain to screw up the set.

“Pain in one wrist during pushups, or other weight bearing exercises, can be caused by a number of issues, but it almost always is due to a problem with a tendon or ligament,” says J. Mark Anderson, MD, DABFM, of Executive Medicine of Texas and who is board certified in family medicine.

“When pain is experienced in one wrist, it may be due to tendonitis, like what is seen in carpal tunnel syndrome, or other inflammatory conditions.”

If you have carpal tunnel syndrome, however, there’s a pretty good chance that you experience symptoms at times other than during exercise.

For example, your fingers may tingle or be numb; and flexing the wrist (bending the hand towards the underside of your forearm) triggers pain. There may also be spontaneous pain in the forearm.

More Likely Cause of Pain in One Wrist While Doing Pushups

“In some cases, patients may have a ganglion cyst around the wrist, hand or forearm area,” says Dr. Anderson.

“This is a non-cancerous fluid filled sac that is usually not painful on its own, but when they press on a nerve, it can cause sharp, radiating pains.”

Shutterstock/girl-think-position

One of the distinguishing characteristics of a ganglion cyst is that the pain immediately stops when the offending activity ceases.

A ganglion cyst can sometimes be seen as a lump somewhere on the wrist (though they can appear elsewhere on the hand). It feels rather rubbery and gives when you press into it.

The only way to get rid of it is needle aspiration by a doctor or, if that fails, surgery.

If you have one of these and it’s causing pain in one wrist during pushups, it’s probably not going to get much worse, but don’t be surprised if every so often, it can be felt while bench pressing or doing horizontal chest presses on a machine.

Solution to Pain in One Wrist from Doing Pushups

Here is a solution if the cause is a ganglion cyst.

I’ve had one of these for many years, and I’ve always been a fan of pushups.

The slam-dunk solution is to use pushup handles, or hold dumbbells by their stem or kettlebells by their handles.

This 100 percent solves the problem.

Freepik.com, pressfoto

Furthermore, using handles or dumbbells allows you to go deeper into the movement, recruiting more chest muscle.

Dr. Anderson is coauthor of the award-winning book, “Stay Young: 10 Proven Steps to Ultimate Health,” and host of the nationally syndicated Staying Young Show which goes to podcast as Staying Young Show 2.0.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer. 
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Top image:  Freepik.com Racool_studio