Carotid Duplex Scan – Stroke Prevention Testing & Screening Near Me

Stroke Prevention  and also Screening near me
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5 Preventive Health Screenings for these Diseases:

 

 

Carotid Artery Disease – Carotid Duplex Scan

An ultrasound is carried out to evaluate the carotid arteries (a set of blood vessels in the neck that delivers blood to your mind) for the build up of fatty plaque. Carotid duplex scan.  This build up, called atherosclerosis, is just one of the leading root causes of stroke.

Carotid (kuh-ROT-id) ultrasound is a risk-free, painless treatment that uses sound waves to analyze the blood flow through the carotid arteries. Carotid duplex scan.

Your two carotid arteries are located on each side of your neck. They deliver blood from your heart to your  mind.

Carotid ultrasound tests for  obstructed or  tightened carotid arteries, which can  raise the  danger of stroke. Carotid duplex scan.  The results can aid your medical professional determine a therapy to decrease your stroke danger.

Ischemic stroke. A carotid ultrasound is  carried out to test for  tightened carotid arteries, which  enhance the  threat of stroke.

Carotid arteries are typically tightened by a accumulation of plaque – composed of fat, cholesterol, calcium and also other compounds that distribute in the blood stream. Early diagnosis and also treatment of a tightened carotid artery can decrease stroke danger.

Your physician will certainly suggest carotid ultrasound if you have short term ischemic assaults (TIAs) or specific sorts of stroke and also may advise a carotid ultrasound if you have medical conditions that enhance the danger of stroke, consisting of:

  • High blood pressure.
  • Diabetes.
  • High cholesterol.
  • Family history of stroke or cardiovascular disease
  • Current short-term ischemic assault (TIA) or stroke.
  • Uncommon noise in carotid arteries (bruit), identified by your doctor making use of a stethoscope.
  • Coronary artery disease.

To screen for tightened or blocked blood vessels in other locations of the body, you might need added tests, consisting of:

 Stomach ultrasound. Carotid duplex scan.  You might have an abdominal ultrasound to test for conditions influencing the blood vessels or body organs in your abdominal location.

Ankle-brachial index test. This examination steps and contrasts the blood pressure in between your ankle joint and your arm. The test shows decreased or blocked blood circulation to your legs.

Heart cardiovascular test. Carotid duplex scan.  This examination shows how well your heart does when under stress, such as during workout. Outcomes can show bad blood circulation to the heart.

Carotid duplex scan.  Your physician may likewise purchase imaging examinations to identify coronary artery illness.

 Various other  uses carotid ultrasound.
Your  physician may  buy a carotid ultrasound to:.

 Assess blood flow  with the artery after surgery to  get rid of plaques (carotid endarterectomy).

Evaluate the placement as well as effectiveness of a stent, a mesh tube made use of to improve blood circulation with an artery.

Locate a collection of clotted blood (hematoma) that may protect against blood flow.

 Spot other carotid artery  irregularities that  might  interrupt blood  circulation.

 

 

Peripheral Arterial Disease (PAD) – Carotid Duplex Scan

Carotid duplex scan.  An Ankle-Brachial Index (ABI) examination is carried out using high blood pressure cuffs on the arms and also legs. It is important to evaluate for PAD due to the fact that it increases the risk of coronary artery condition, heart attack, or stroke.

 Outer artery disease (also called  outer arterial  illness) is a  usual condition in which narrowed arteries reduce blood flow to the arms or legs.

In  outer artery  illness (PAD), the legs or arms–  typically the legs–  do not receive enough blood flow to  stay up to date with demand. Carotid duplex scan.  This may cause leg discomfort when strolling (claudication) and other symptoms.

Outer artery disease is normally a sign of a build up of fatty down payments in the arteries (atherosclerosis). Atherosclerosis causes narrowing of the arteries that can reduce blood flow in the legs and also, sometimes, the arms.

 Outer artery  illness  therapy includes exercising,  consuming a healthy diet and not smoking or  utilizing tobacco.

 Signs and symptoms.
Many people with peripheral artery disease have  moderate or no symptoms. Some  individuals have leg  discomfort when  strolling (claudication).

Claudication signs and symptoms include muscle discomfort or cramping in the legs or arms that starts throughout workout as well as ends with remainder. Serious leg pain may make it tough to stroll or do various other types of physical task.

 Various other peripheral artery disease symptoms  might include:

  • Cold in the reduced leg or foot, especially when compared to the other side.
  • Leg feeling numb or weak point.
  • No pulse or a weak pulse in the legs or feet.
  • Painful cramping in one or both of the hips, thighs or calf bone muscle mass after certain tasks, such as walking or climbing staircases.
  • Shiny skin on the legs. Carotid duplex scan.
  • Skin shade modifications on the legs.
  • Slower development of the toenails.
  • Sores on the toes, feet or legs that won’t {heal| recover,
  • Pain when using the arms, such as hurting as well as constraining when knitting, writing or doing various other hands-on tasks.
  • Erectile dysfunction.
  • Hair loss or slower hair growth on the legs.

If peripheral artery  illness gets worse, pain  might  take place  throughout rest or when lying down. The  discomfort may interrupt sleep. Hanging the legs over the edge of the bed or walking may  briefly  soothe the  discomfort.

Causes.
Growth of atherosclerosis. Carotid duplex scan.  Outer artery disease is often caused by a buildup of fatty, cholesterol-containing down payments (plaques) on artery wall surfaces. This process is called atherosclerosis. It lowers blood circulation through the arteries.

Atherosclerosis  influences arteries throughout the body. When it  takes place in the arteries supplying blood to the limbs, it  triggers  outer artery  condition.

 Much less  usual  sources of  outer artery  illness include:

  • Blood vessel swelling.
  • Injury to the arms or legs.
  • Adjustments in the muscular tissues or tendons.
  • Radiation direct exposure.
  • Danger elements.
  •  Cigarette smoking or having  diabetes mellitus greatly  enhances the risk of  creating peripheral artery disease.

 

Other things that increase the  danger of  outer artery  condition  consist of:.

  • A family history of peripheral artery disease, heart problem or stroke.
  • High blood pressure.
  • High cholesterol. Carotid duplex scan.
  • High levels of an amino acid called homocysteine, which boost the risk for coronary artery condition.
  • Increasing age, particularly after 65 (or after 50 if you have danger aspects for atherosclerosis).
  •  Weight problems (a body mass index over 30).

 

 Problems.
Problems of outer artery condition brought on by atherosclerosis include:

Carotid duplex scan.  Important arm or leg ischemia. In this condition, an injury or infection causes tissue to pass away. Signs include open sores on the arm or legs that don’t heal.

 Therapy  might  consist of amputation of the affected limb. 

Stroke as well as heart attack. Plaque build up in the arteries can additionally influence the blood vessels in the heart as well as mind.

Prevention.
 The most effective  method  to stop leg  discomfort  because of  outer artery disease is to  keep a healthy lifestyle.

That  suggests:.

  • Don’t smoke.
  • Control blood sugar level.
  • Consume foods that are reduced in hydrogenated fat.
  • Get routine exercise – however contact your care provider regarding what kind and also how much is best for you.
  • Preserve a healthy and balanced weight
  • Manage  high blood pressure  and also cholesterol.

 

Abdominal Aortic Aneurysm (AAA) – Carotid Duplex Scan

Carotid duplex scan.  An ultrasound is performed to screen the abdominal aorta for the visibility of an augmentation or aneurysm. AAA can cause a ruptured aortic artery, which is a major medical emergency situation.

An abdominal aortic aneurysm is an  bigger area in the lower part of the  significant vessel that  provides blood to the body (aorta). Carotid duplex scan.  The aorta runs from the heart with the facility of the breast as well as abdomen.

The aorta is the largest blood vessel in the body, so a burst abdominal aortic aneurysm can create life threatening bleeding.

 Depending upon the size of the aneurysm and  exactly how fast it’s growing,  therapy  differs from watchful waiting to  emergency situation  surgical procedure.

Symptoms.
Abdominal aortic aneurysms often grow slowly without  recognizable symptoms, making them difficult to  identify. Some aneurysms never rupture. Many  beginning small and stay  tiny. Others  enlarge  with time,  often  swiftly. 

If you have an increasing the size of abdominal aortic aneurysm, you might discover:

  • Deep, constant discomfort in the belly location or side of the stomach (abdomen).
  • Neck and back pain.
  • A pulse near the belly button.

 Reasons.
Aneurysms can develop anywhere along the aorta, but most aortic aneurysms  take place in the part of the aorta that’s in the  stomach area (abdomen).

A number of points can play a role in the development of an stomach aortic aneurysm, including:

  • Solidifying of the arteries (atherosclerosis). Atherosclerosis happens when fat as well as other materials build up on the lining of a capillary.
  • High blood pressure. Hypertension can harm and damage the aorta’s wall surfaces.
  •  Capillary  illness. These are  conditions that  trigger blood vessels to  come to be inflamed.
    Infection in the aorta. Hardly ever, a microbial or fungal infection could cause an abdominal aortic aneurysms.
  • Trauma. For instance, being wounded in a auto accident can cause an stomach aortic aneurysms.
  •  Danger  variables.

Stomach aortic aneurysm danger factors include:

Cigarette smoking is the best threat element for aortic aneurysms. Cigarette smoking can deteriorate the walls of the aorta, raising the risk of aortic aneurysm and aneurysm rupture.

Age. Stomach aortic aneurysms occur frequently in individuals age 65 and also older.

Being  man. Carotid duplex scan.  Men establish abdominal aortic aneurysms much more usually than women do.
Being white. People  that are white  go to  greater risk of  stomach aortic aneurysms.

Family history. Having a family history of  stomach aortic aneurysms increases the risk of having the  problem.

Other aneurysms. Having an aneurysm in another  huge  capillary, such as the artery behind the knee or the aorta in the  upper body (thoracic aortic aneurysm), might  enhance the  threat of an  stomach aortic aneurysm.

Carotid duplex scan.  If you’re at risk of an aortic aneurysm, your doctor might recommend other measures, such as medicines to reduce your high blood pressure as well as soothe stress and anxiety on damaged arteries.

Complications.
Splits in one or more of the layers of the wall surface of the aorta (aortic breakdown) or a ruptured aneurysm are the main complications. A rupture can cause lethal internal blood loss. As a whole, the larger the aneurysm and the much faster it expands, the better the risk of rupture.

Symptoms and signs that an aortic aneurysm has fractured can include:

  • Sudden, extreme and also persistent stomach or back pain, which can be described as a tearing feeling.
  • Reduced high blood pressure.
  • Fast pulse.
  • Aortic aneurysms  likewise  boost the  threat of  creating blood clots in the area. If a  embolism  break out from the inside  wall surface of an aneurysm  as well as blocks a  capillary elsewhere in your body, it can  create pain or block blood flow to the legs, toes, kidneys or abdominal organs.

 

Prevention.
To avoid an aortic aneurysm or maintain an aortic aneurysm from aggravating, do the following:

  • Do not smoke or use tobacco items. Quit smoking cigarettes or eating tobacco and avoid secondhand smoke. If you need aid giving up, talk with your doctor about drugs as well as therapies that may aid. Carotid duplex scan.
  • Consume a healthy diet. Focus on consuming a selection of vegetables and fruits, entire grains, chicken, fish, as well as low-fat dairy items. Avoid saturated as well as trans fats as well as limitation salt.
  • Keep your blood pressure as well as cholesterol controlled. If your doctor has actually prescribed medications, take them as instructed.
  • Get  routine  workout.  Attempt to get at  the very least 150 minutes a week of  modest  cardio  task. If you  have not been  energetic,  begin slowly  and also  develop.  Speak with your  medical professional  concerning what  type of activities are right for you. 

 

Atrial Fibrillation (AFib) – Carotid Duplex Scan

A 6-lead electrocardiogram (EKG) is performed by placing sensing units on the arms as well as legs to screen for Atrial Fibrillation.  Carotid duplex scan. AFib can lead to blood clots, stroke, as well as cardiac arrest, and other heart-related difficulties.

Atrial fibrillation (A-fib) is an irregular as well as often very quick heart rhythm (arrhythmia) that can cause embolism in the heart. A-fib rises the risk of stroke, heart failure as well as other heart-related problems.

Throughout atrial fibrillation, the heart’s upper chambers (the atria) beat chaotically and off-and-on – out of sync with the reduced chambers (the ventricles) of the heart. For many people, A-fib might have no signs. Carotid duplex scan.  A-fib might trigger a quickly, battering heart beat (palpitations), lack of breath or weak point.

Episodes of atrial fibrillation may reoccur, or they might be consistent. A-fib itself usually isn’t dangerous, it’s a major medical condition that requires appropriate therapy to protect against stroke.

 Therapy for atrial fibrillation  might include medications,  treatment to reset the heart rhythm and catheter procedures to  obstruct  malfunctioning heart signals.

A  individual with atrial fibrillation may also have a  relevant heart rhythm  trouble called atrial flutter. Although atrial flutter is a different arrhythmia, the treatment is quite similar to atrial fibrillation. 

 Signs and symptoms.
Some people with atrial fibrillation (A-fib)  do not notice  any kind of symptoms. Carotid duplex scan.  Those who do have atrial fibrillation signs and symptoms might have signs and symptoms such as:.

  • Feelings of a fast, fluttering or pounding heart beat (palpitations).
  • Chest pain.
  • Lightheadedness.
  • Fatigue.
  • Impaired thinking.
  • Lowered ability to workout.
  • Lack of breath.
  •  Weak point.

 

Atrial fibrillation might be:

Periodic (paroxysmal atrial fibrillation). Some people with periodic A-fib need treatment.

Persistent. With this sort of atrial fibrillation, the heart rhythm does not go back to regular by itself. If a individual has A-fib signs, cardioversion or therapy with medications might be used to restore as well as keep a normal heart rhythm.

Long-lasting relentless. This type of atrial fibrillation is constant and lasts longer than 12 months.
Long term. Carotid duplex scan.  In this sort of atrial fibrillation, the uneven heart rhythm can’t be recovered. Medicines are required to manage the heart price and also to prevent blood clots.

 Reasons.
To  comprehend the  reasons for A-fib, it may be helpful to  recognize  exactly how the heart  commonly  defeats.

The regular heart has four chambers – 2 top chambers ( room) and also 2 reduced chambers (ventricles). It creates the signal that begins each heart beat.

In a normal heart rhythm:

  • The signal travels from the sinus node with the two top heart chambers (atria).
  • The signal passes through a pathway between the top and lower chambers called the atrioventricular (AV) node.
  • The movement of the signal creates your heart to squeeze (contract), sending out blood to your heart as well as body.
  • In atrial fibrillation, the signals in the  top chambers of the heart are  disorderly.  Therefore, the upper chambers shake (quiver). The AV node is  after that bombarded with signals trying to  get across the lower heart chambers (ventricles). This  triggers a  quick and irregular heart rhythm. 

 

The heart  price in atrial fibrillation  might  vary from 100 to 175 beats a  min. The  regular  variety for a heart rate is 60 to 100 beats a minute.

 Reasons for atrial fibrillation.
 Troubles with the heart’s structure are the most  usual  source of atrial fibrillation. Carotid duplex scan.  Feasible causes of atrial fibrillation consist of:.

  • Coronary artery disease.
  • Cardiovascular disease.
  • Heart flaw that you’re born with (congenital heart problem).
  • Heart shutoff troubles.
  • High blood pressure.
  • Lung illness.
  • Physical stress and anxiety as a result of surgical treatment, pneumonia or various other diseases.
  • Previous heart surgical procedure.
  • Problem with the heart’s natural pacemaker (sick sinus disorder).
  • Sleep apnea.
  • Thyroid condition such as an over active thyroid (hyperthyroidism) and various other metabolic discrepancies.
  • Use stimulants, consisting of certain medications, caffeine, tobacco and also alcohol.
  • Viral infections.

Some  individuals who have atrial fibrillation have no known heart  issues or heart damage.

Threat factors. Carotid duplex scan.
 Points that can  raise the  threat of atrial fibrillation (A-fib)  consist of:.

Age. The older a  individual is, the  better the risk of developing atrial fibrillation.

Heart problem. Any individual with heart disease– such as heart shutoff issues, congenital heart disease, heart disease, coronary artery disease, or a history of cardiovascular disease or heart surgical procedure– has actually an increased danger of atrial fibrillation.

Hypertension. Having hypertension, particularly if it’s not well controlled with way of life modifications or drugs, can increase the danger of atrial fibrillation.

Thyroid illness. In some people, thyroid issues may set off heart rhythm problems (arrhythmias), consisting of atrial fibrillation.

Other chronic health and wellness conditions. People with specific persistent conditions such as diabetic issues, metabolic syndrome, chronic kidney illness, lung disease or sleep apnea have actually an enhanced threat of atrial fibrillation.

Drinking alcohol. For some people, drinking alcohol can activate an episode of atrial fibrillation. Binge drinking further boosts the risk.

Excessive weight.  Carotid duplex scan.  Individuals who have excessive weight go to higher threat of developing atrial fibrillation.

Family history. An increased danger of atrial fibrillation takes place in some households.

Difficulties.
 Embolism are a  hazardous complication of atrial fibrillation that can  result in stroke.

In atrial fibrillation, the chaotic heart rhythm can cause blood to collect in the heart’s  top chambers ( room)  as well as form clots. Carotid duplex scan.  If a embolism in the left upper chamber (left room) breaks without the heart area, it can travel to the brain as well as cause a stroke.

The  danger of stroke from atrial fibrillation  boosts as you grow older. Other  wellness  problems  likewise  might increase your risk of a stroke  as a result of A-fib, including:.

  • High blood pressure.
  • Diabetes mellitus.
  • Cardiac arrest.
  • Some valvular cardiovascular disease.
  • Blood thinners are  typically  suggested  to avoid  embolism and strokes in people with atrial fibrillation.

 Avoidance.
Healthy and balanced lifestyle options can reduce the danger of cardiovascular disease and also may stop atrial fibrillation. Carotid duplex scan.  Right here are some fundamental heart-healthy tips:

  • Consume a nutritious diet.
  • Obtain routine workout as well as preserve a healthy weight.
  •  Do not smoke.
    Prevent or restrict alcohol and also high levels of caffeine.
  •  Take care of  tension, as  extreme  stress and anxiety  as well as anger can cause heart rhythm  troubles.

 

Osteoporosis Risk – Carotid Duplex Scan

An ultrasound is  done to measure the shin bone for  irregular bone mass  thickness. Carotid duplex scan.  This can aid evaluate the threat of osteoporosis, a disease where bones become weak as well as breakable.

Osteoporosis triggers bones to end up being weak and fragile – so brittle that a fall and even mild anxieties such as bending over or coughing can cause a fracture. Osteoporosis-related cracks most generally occur in the hip, wrist or back.

Weakening of bones impacts men and women of all races. But white and also Asian women, especially older ladies who are past menopause, are at highest threat. Medicines, healthy diet and also weight bearing exercise can help stop bone loss or strengthen currently weak bones.

 Signs.
There normally are no signs in the beginning of bone loss. Once your bones have actually been deteriorated by weakening of bones, you could have signs and symptoms that consist of:.

  • Neck and back pain, triggered by a fractured or broke down vertebra.
  • Loss of elevation over time.
  • A stooped pose.
  • A bone that  damages much more  conveniently than expected.

 Reasons.
Comparing the interior of a  healthy and balanced bone with one that  has actually become porous from  weakening of bones.
 Weakening of bones weakens bone.

 Exactly how  most likely you are to  establish  weakening of bones depends  partially on  just how much bone mass you  acquired in your  young people. Peak bone mass is partly inherited and varies  likewise by ethnic group. The higher your  top bone mass, the more bone you have “in the  financial institution”  and also the  much less  most likely you are to  establish osteoporosis as you age.

 Danger  variables.
A number of elements can raise the probability that you’ll develop osteoporosis– including your age, race, way of living options, and also medical problems and also treatments. Carotid duplex scan.

 Stable  threats.
Some threat aspects for weakening of bones run out your control, consisting of:

  • Your sex. Females are much more likely to develop weakening of bones than are guys.
  • Age. The older you obtain, the better your risk of weakening of bones.
  • Race. You’re at biggest risk of weakening of bones if you’re white or of Asian descent.
  • Family history. Having a parent or sibling with osteoporosis puts you at greater danger, particularly if your mom or father fractured a hip.
  • Body frame size. Males and female that have tiny body frames tend to have a greater risk because they might have less bone mass to draw from as they age.
  •  Hormonal agent levels.

Osteoporosis is extra typical in individuals that have too much or insufficient of specific hormonal agents in their bodies. Examples include:

 The  autumn in estrogen levels in  ladies at menopause is one of the  greatest  threat  elements for developing osteoporosis.  Therapies for prostate  cancer cells that reduce testosterone  degrees in  males and treatments for  bust  cancer cells that reduce estrogen levels in  females are  most likely to  speed up bone loss. 

 Nutritional  variables.
Osteoporosis is  most likely to  take place in  individuals who have:

Reduced calcium consumption. A lifelong absence of calcium contributes in the development of weakening of bones. Low calcium consumption contributes to diminished bone density, very early bone loss and an increased danger of cracks.

Eating disorders. Badly restricting food intake and also being undernourished damages bone in both males and females.

Lasting use of dental or infused corticosteroid medicines, such as prednisone as well as cortisone, disrupts the bone-rebuilding procedure. Carotid duplex scan.  Osteoporosis has also been related to medications utilized to battle or stop:

  • Seizures.
  • Stomach reflux.
  • Cancer cells.
  • Transplant denial.
  •  Clinical  problems.

The risk of  weakening of bones is higher in  individuals who have  specific medical  troubles, including:.

  • Celiac illness.
  • Inflammatory bowel condition.
  • Kidney or liver illness.
  • Cancer.
  • Numerous myeloma.
  • Rheumatoid joint inflammation
  • Lifestyle  options.

Some bad habits can boost your risk of osteoporosis. Examples consist of:

Sedentary way of living. People who spend a great deal of time sitting have a greater risk of weakening of bones than do those who are much more energetic. Any weight bearing workout and activities that promote equilibrium and great stance are useful for your bones, but strolling, running, jumping, dancing and weight-lifting seem specifically valuable.
 Too much alcohol consumption. Carotid duplex scan.  Regular usage of greater than 2 alcohols a day increases the danger of weakening of bones.

Tobacco use. The specific function tobacco plays in osteoporosis isn’t clear, yet it has actually been shown that cigarette use adds to weak bones.

Problems.
 Just how osteoporosis can  create vertebrae to crumple  as well as collapse.
Compression  cracks.

 In many cases, spinal  cracks can  happen even if you haven’t  dropped. The bones that  comprise your  spinal column (vertebrae) can  deteriorate to the point of collapsing, which can  cause  pain in the back,  shed  elevation  as well as a hunched  ahead posture.

Prevention.
 Excellent nutrition  as well as  routine  workout are  crucial for keeping your bones  healthy and balanced throughout your life.

Calcium.
Men and women between the ages of 18  and also 50  requirement 1,000 milligrams of calcium a day. This  everyday  quantity  boosts to 1,200 milligrams when  ladies  transform 50  and also  males turn 70.

Good resources of calcium include:

  • Low-fat dairy products.
  • Dark environment-friendly leafy {vegetables| veggies
  • Tinned salmon or sardines with bones.
  • Soy products, such as tofu.
  • Calcium-fortified  grains and orange juice.

 

The Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine recommends that  complete calcium intake, from supplements  and also  diet plan  incorporated, should be no more than 2,000 milligrams daily for  individuals older than 50.

Vitamin D.
Vitamin D  enhances the body’s  capability to  soak up calcium and  enhances bone  wellness in  various other  means. Carotid duplex scan.  People can obtain some of their vitamin D from sunshine, but this may not be a good resource if you live in a high latitude, if you’re housebound, or if you frequently make use of sun block or stay clear of the sun due to the danger of skin cancer cells.

 Nutritional sources of vitamin D include cod liver oil, trout  and also salmon.  Numerous  sorts of milk  and also  grain  have actually been fortified with vitamin D.

Most  individuals need  a minimum of 600  global units (IU) of vitamin D a day. That recommendation  boosts to 800 IU a day after age 70.

People without various other sources of vitamin D and specifically with restricted sunlight exposure could need a supplement. Most multivitamin products consist of in between 600 as well as 800 IU of vitamin D. Up to 4,000 IU of vitamin D a day is secure for lots of people.

Exercise.
Exercise can assist you develop strong bones and also sluggish bone loss. Carotid duplex scan.  Exercise will certainly benefit your bones anytime you start, yet you’ll gain one of the most benefits if you start working out regularly when you’re young and also remain to exercise throughout your life.

Weight-bearing exercises– such as walking, running, running, stair climbing, avoiding rope, snowboarding and impact-producing sporting activities– affect primarily the bones in your legs, hips and also lower back. Equilibrium workouts such as tai chi can lower your risk of falling particularly as you obtain older.

 

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