We were pleased at the inclusion of your recent 10 minute consultation paper on Epistaxis by Mulla et al [1] which covers a condition that whilst often simple, is potentially fatal.

Mulla O, Prowse S, Sanders T, Nix P. Epistaxis (Ten-Minute Consultation).BMJ 2012; 344 doi: 10.1136/bmj.e1097If you were to have an acupuncture chart in-hand, you’d be able to see the numerous connections between the Feng Fu spot and scalp areas. Icing this spot is thought to help reduce the pains associated with headaches. 5. Reduces fatigue and stress Ancient Chinese medical texts were among the first to discover and expand upon the mind and body connection. Since then, prestigious institutions (Harvard Medical School), health agencies (National Institute of Health), and most modern scientists and medical practitioners have accepted the overwhelming evidence for such connections. Design and functionality. I sought products that are easy to use, especially for those with limited mobility due to arthritis. This means features like adjustable straps and washable covers, and products that are designed for use and fit on a variety of joints.

Ice can be left on for 20-30 minutes but there is little benefit to be gained by leaving it on for longer. You run the risk of damaging the skin if ice is left on the skin for more than 20-30 minutes at a time. Leaving the ice on for too long can also slow down the healing process.A 2014 experimental study of 18 females ages 50 to 69 observed improvements in clinical symptoms and walking ability after 12 weeks of treatment using heat- and steam-generating sheets. However, a 2018 randomized controlled trial of 93 rheumatoid arthritis patients concluded that dry heat treatment did not improve hand function or provide any positive benefits. Stay hydrated: Dehydration is a common cause of headaches, so make sure you are drinking enough water. About a half gallon a day is recommended, and you’ll need more if you engage in physical activity. A 2015 review in Postgraduate Medicine indicates, “The physiological effects of cold therapy include reductions in pain, blood flow, edema, inflammation, muscle spasm, and metabolic demand.”