Heart Attack Assessment – Stroke Prevention Testing & Screening Near Me

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

 

 

Carotid Artery Disease – Heart Attack Assessment

An ultrasound is done to screen the carotid arteries (a pair of blood vessels in the neck that provides blood to your brain) for the build up of fatty plaque. Heart attack assessment.  This accumulation, called atherosclerosis, is just one of the leading reasons for stroke.

Carotid (kuh-ROT-id) ultrasound is a safe, painless procedure that uses sound waves to analyze the blood flow with the carotid arteries. Heart attack assessment.

Your two carotid arteries  lie on each side of your neck. They  supply blood from your heart to your  mind.

Carotid ultrasound  examinations for  obstructed or  tightened carotid arteries, which can increase the  danger of stroke. Heart attack assessment.  The results can assist your medical professional determine a therapy to decrease your stroke risk.

Ischemic stroke. A carotid ultrasound is performed to  examine for  tightened carotid arteries, which increase the risk of stroke.

Carotid arteries are normally narrowed by a accumulation of plaque – made up of fat, cholesterol, calcium and other compounds that flow in the bloodstream. Early diagnosis as well as therapy of a narrowed carotid artery can reduce stroke danger.

Your doctor will suggest carotid ultrasound if you have short term ischemic strikes (TIAs) or particular kinds of stroke as well as may suggest a carotid ultrasound if you have medical problems that raise the threat of stroke, consisting of:

  • High blood pressure.
  • Diabetes mellitus.
  • High cholesterol.
  • Family history of stroke or heart problem
  • Current transient ischemic attack (TIA) or stroke.
  • Unusual noise in carotid arteries (bruit), discovered by your medical professional making use of a stethoscope.
  • Coronary artery  illness.

To evaluate for narrowed or blocked capillary in various other areas of the body, you may need extra examinations, consisting of:

Abdominal ultrasound. Heart attack assessment.  You might have an stomach ultrasound to evaluate for problems impacting the capillary or body organs in your stomach location.

Ankle-brachial index examination. This examination measures as well as compares the high blood pressure between your ankle and also your arm. The examination shows reduced or obstructed blood flow to your legs.

Heart cardiovascular test. Heart attack assessment.  This test demonstrates how well your heart executes when under tension, such as during workout. Outcomes can indicate bad blood circulation to the heart.

Heart attack assessment.  Your doctor might also buy imaging tests to identify coronary artery illness.

Other  uses carotid ultrasound.
Your doctor may  get a carotid ultrasound to:.

Evaluate blood  circulation through the artery after surgery to  get rid of plaques (carotid endarterectomy).

Assess the placement and also performance of a stent, a mesh tube made use of to boost blood flow through an artery.

Locate a collection of clotted blood (hematoma) that may prevent blood circulation.

 Find  various other carotid artery  problems that  might disrupt blood flow.

 

 

Outer Arterial Disease (PAD) – Heart Attack Assessment

Heart attack assessment.  An Ankle-Brachial Index (ABI) test is carried out making use of high blood pressure cuffs on the arms and legs. It is necessary to evaluate for PAD since it increases the risk of coronary artery illness, cardiac arrest, or stroke.

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

In  outer artery disease (PAD), the legs or arms– usually the legs– don’t receive  sufficient blood flow to  stay on top of  need. Heart attack assessment.  This may create leg discomfort when strolling (claudication) and also various other signs and symptoms.

Outer artery disease is usually a indicator of a build up of fatty deposits in the arteries (atherosclerosis). Atherosclerosis triggers constricting of the arteries that can decrease blood flow in the legs as well as, often, the arms.

 Outer artery  illness  therapy includes  working out,  consuming a healthy  diet plan  and also not smoking or using tobacco.

 Signs and symptoms.
 Lots of people with  outer artery  illness have mild or no  signs and symptoms. Some  individuals have leg  discomfort when walking (claudication).

Claudication signs and symptoms include muscle pain or cramping in the legs or arms that starts throughout workout and finishes with rest. Extreme leg discomfort may make it tough to walk or do other types of physical task.

 Various other  outer artery  illness  signs may include:

  • Temperature in the lower leg or foot, especially when compared with the opposite.
  • Leg numbness or weakness.
  • No pulse or a weak pulse in the legs or feet.
  • Excruciating cramping in one or both of the hips, upper legs or calf muscles after certain tasks, such as walking or climbing stairs.
  • Shiny skin on the legs. Heart attack assessment.
  • Skin shade changes on the legs.
  • Slower development of the toe nails.
  • Sores on the toes, feet or legs that won’t {heal| recover,
  • Pain when making use of the arms, such as aching and constraining when knitting, creating or doing various other hand-operated tasks.
  • Impotence.
  •  Loss of hair or slower hair  development on the legs.

If  outer artery disease  becomes worse, pain  might  happen  throughout rest or when lying down. The pain may  disturb sleep. Hanging the legs over the edge of the bed or walking may  momentarily  soothe the pain.

Causes.
Development of atherosclerosis. Heart attack assessment.  Outer artery condition is usually caused by a accumulation of fatty, cholesterol-containing down payments (plaques) on artery walls. This process is called atherosclerosis. It lowers blood circulation through the arteries.

Atherosclerosis  influences arteries throughout the body. When it  happens in the arteries  providing blood to the  arm or legs, it causes  outer artery  condition.

 Much less  typical causes of  outer artery  condition  consist of:

  • Capillary swelling.
  • Injury to the arms or legs.
  • Changes in the muscles or ligaments.
  • Radiation direct exposure.
  • Risk aspects.
  • Smoking or having diabetes greatly  boosts the  danger of  creating peripheral artery disease.

 

Other  points that  raise the  threat of  outer artery disease include:.

  • A family history of outer artery condition, heart disease or stroke.
  • Hypertension.
  • High cholesterol. Heart attack assessment.
  • High levels of an amino acid called homocysteine, which increase the risk for coronary artery disease.
  • Raising age, particularly after 65 (or after 50 if you have threat factors for atherosclerosis).
  • Obesity (a body mass index over 30).

 

 Issues.
Difficulties of peripheral artery disease brought on by atherosclerosis include:

Heart attack assessment.  Crucial limb anemia. In this problem, an injury or infection causes tissue to die. Signs and symptoms include open sores on the limbs that don’t heal.

 Therapy  might include amputation of the affected limb. 

Stroke and cardiac arrest. Plaque build up in the arteries can likewise affect the blood vessels in the heart and also brain.

Prevention.
The best way  to stop leg  discomfort  because of  outer artery disease is to  keep a healthy  way of living.

That  suggests:.

  • Do not smoke.
  • Control blood sugar level.
  • Consume foods that are low in saturated fat.
  • Get routine exercise – yet get in touch with your care company about what type and just how much is ideal for you.
  • Keep a healthy and balanced weight
  • Manage  high blood pressure  and also cholesterol.

 

Stomach Aortic Aneurysm (AAA) – Heart Attack Assessment

Heart attack assessment.  An ultrasound is done to evaluate the stomach aorta for the presence of an enlargement or aneurysm. AAA can bring about a ruptured aortic artery, which is a serious clinical emergency situation.

An  stomach aortic aneurysm is an  bigger  location in the lower part of the  significant vessel that  provides blood to the body (aorta). Heart attack assessment.  The aorta ranges from the heart with the facility of the upper body as well as abdominal area.

The aorta is the biggest capillary in the body, so a fractured abdominal aortic aneurysm can create serious blood loss.

 Depending upon the  dimension of the aneurysm  and also  just how  quick it’s growing,  therapy  differs from  careful waiting to  emergency situation  surgical procedure.

Symptoms.
 Stomach aortic aneurysms  typically  expand  gradually without  recognizable  signs and symptoms, making them  tough to  identify. Some aneurysms  never ever rupture.  Numerous  beginning  tiny and  remain small. Others  enlarge over time,  often quickly. 

If you have an enlarging abdominal aortic aneurysm, you may see:

  • Deep, consistent discomfort in the belly location or side of the tummy (abdomen).
  • Pain in the back.
  • A pulse near the belly button.

 Reasons.
Aneurysms can develop anywhere along the aorta,  yet  a lot of aortic aneurysms  happen in the part of the aorta that’s in the  stomach  location (abdomen).

A number of points can contribute in the advancement of an stomach aortic aneurysm, consisting of:

  • Solidifying of the arteries (atherosclerosis). Atherosclerosis occurs when fat and also other compounds build up on the cellular lining of a blood vessel.
  • Hypertension. Hypertension can damage as well as damage the aorta’s walls.
  •  Capillary diseases. These are diseases that  create  capillary to  end up being inflamed.
    Infection in the aorta. Rarely, a bacterial or fungal infection could cause an abdominal aortic aneurysms.
  • Injury. Being injured in a vehicle mishap can cause an stomach aortic aneurysms.
  •  Danger  elements.

Stomach aortic aneurysm threat elements include:

Cigarette use. Heart attack assessment.  Smoking cigarettes is the strongest risk factor for aortic aneurysms. Smoking cigarettes can compromise the walls of the aorta, increasing the threat of aortic aneurysm as well as aneurysm tear. The longer and also extra you smoke or chew tobacco, the better the chances of creating an aortic aneurysm. Doctors recommend a one-time stomach ultrasound to screen for an stomach aortic aneurysm in males ages 65 to 75 that are current or previous cigarette smokers.

Age. Stomach aortic aneurysms happen frequently in individuals age 65 as well as older.

Being  man. Heart attack assessment.  Men create abdominal aortic aneurysms much more often than ladies do.
Being white. People who are white are at  greater  danger of  stomach aortic aneurysms.

Family history. Having a family history of  stomach aortic aneurysms  boosts the risk of having the condition.

Other aneurysms. Having an aneurysm in  one more large  capillary, such as the artery behind the knee or the aorta in the chest (thoracic aortic aneurysm), might  boost the  danger of an abdominal aortic aneurysm.

Heart attack assessment.  If you’re at danger of an aortic aneurysm, your physician might recommend various other procedures, such as medications to decrease your high blood pressure and also soothe anxiety on weakened arteries.

 Issues.
Rips in one or more of the layers of the wall of the aorta (aortic dissection) or a ruptured aneurysm are the main problems. A tear can create life threatening interior bleeding. Generally, the bigger the aneurysm as well as the much faster it expands, the better the danger of rupture.

Symptoms and signs that an aortic aneurysm has actually burst can consist of:

  • Unexpected, extreme and persistent stomach or neck and back pain, which can be referred to as a tearing feeling.
  • Low high blood pressure.
  • Rapid pulse.
  • Aortic aneurysms also  enhance the  threat of  establishing  embolism in the  location. If a  embolism breaks loose from the  within  wall surface of an aneurysm  as well as  obstructs a blood vessel elsewhere in your body, it can cause  discomfort or block blood flow to the legs, toes, kidneys or  stomach organs.

 

 Avoidance.
To avoid an aortic aneurysm or keep an aortic aneurysm from worsening, do the following:

  • Don’t smoke or make use of cigarette products. Quit smoking cigarettes or eating cigarette and also stay clear of secondhand smoke. If you need help giving up, speak to your doctor concerning drugs and also therapies that might aid. Heart attack assessment.
  • Eat a healthy and balanced diet. Concentrate on eating a range of fruits and vegetables, entire grains, poultry, fish, and low-fat dairy products. Avoid saturated and also trans fats and also limit salt.
  • Keep your blood pressure and cholesterol controlled. If your doctor has actually recommended medicines, take them as instructed.
  •   Obtain regular exercise.  Attempt to get at  the very least 150  mins a week of  modest aerobic  task. 

 

Atrial Fibrillation (AFib) – Heart Attack Assessment

A 6-lead electrocardiogram (EKG) is performed by putting sensing units on the arms and also legs to screen for Atrial Fibrillation.  Heart attack assessment. AFib can lead to blood clots, stroke, as well as cardiac arrest, and also various other heart-related issues.

Atrial fibrillation (A-fib) is an uneven as well as frequently very rapid heart rhythm (arrhythmia) that can lead to blood clots in the heart. A-fib increases the threat of stroke, cardiac arrest as well as various other heart-related issues.

Throughout atrial fibrillation, the heart’s upper chambers (the atria) beat chaotically as well as irregularly – out of sync with the reduced chambers (the ventricles) of the heart. For many individuals, A-fib may have no signs and symptoms. Heart attack assessment.  A-fib may trigger a fast, pounding heartbeat (palpitations), lack of breath or weak point.

Episodes of atrial fibrillation might reoccur, or they might be persistent. Although A-fib itself usually isn’t dangerous, it’s a serious medical condition that calls for correct therapy to avoid stroke.

 Therapy for atrial fibrillation may  consist of  medicines, therapy to reset the heart rhythm  as well as catheter procedures to block  damaged heart signals.

A person with atrial fibrillation may  likewise have a  relevant heart rhythm  issue called atrial flutter. Although atrial flutter is a different arrhythmia, the treatment is quite  comparable to atrial fibrillation. 

 Signs and symptoms.
Some  individuals with atrial fibrillation (A-fib)  do not notice  any type of  signs. Heart attack assessment.  Those who do have atrial fibrillation signs might have signs and symptoms such as:.

  • Experiences of a fast, trembling or pounding heart beat (palpitations).
  • Upper body pain.
  • Dizziness.
  • Exhaustion.
  • Faintness.
  • Lowered capability to exercise.
  • Lack of breath.
  •  Weak point.

 

Atrial fibrillation may be:

Periodic (paroxysmal atrial fibrillation). A-fib signs reoccur, usually lasting for a few minutes to hours. In some cases signs and symptoms take place for as long as a week and also episodes can take place repeatedly. Some individuals with occasional A-fib requirement therapy.

Persistent. With this kind of atrial fibrillation, the heart rhythm does not go back to normal by itself. If a individual has A-fib signs and symptoms, cardioversion or therapy with drugs may be made use of to bring back as well as preserve a regular heart rhythm.

Long-standing relentless. This sort of atrial fibrillation is constant and lasts longer than 12 months.
Irreversible. Heart attack assessment.  In this kind of atrial fibrillation, the uneven heart rhythm can’t be brought back. Drugs are required to control the heart price as well as to prevent embolism.

 Reasons.
To  recognize the  root causes of A-fib, it  might be  useful to  understand  just how the heart  generally beats.

The regular heart has four chambers – 2 upper chambers ( room) and also 2 lower chambers (ventricles). It generates the signal that begins each heartbeat.

In a routine heart rhythm:

  • The signal takes a trip from the sinus node with both top heart chambers (atria).
  • The signal goes through a pathway in between the top and reduced chambers called the atrioventricular (AV) node.
  • The motion of the signal causes your heart to press ( agreement), sending blood to your heart as well as body.
  •  In atrial fibrillation, the signals in the upper chambers of the heart are  disorderly. The AV node is then bombarded with signals trying to  obtain  with to the  reduced heart chambers (ventricles). 

 

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

Causes of atrial fibrillation.
 Troubles with the heart’s  framework are  one of the most  usual  reason for atrial fibrillation. Heart attack assessment.  Possible causes of atrial fibrillation consist of:.

  • Coronary artery condition.
  • Cardiovascular disease.
  • Heart issue that you’re born with ( genetic heart problem).
  • Heart valve problems.
  • High blood pressure.
  • Lung conditions.
  • Physical tension due to surgery, pneumonia or other diseases.
  • Previous heart surgical treatment.
  • Trouble with the heart’s natural pacemaker ( ill sinus disorder).
  • Sleep apnea.
  • Thyroid disease such as an overactive thyroid (hyperthyroidism) and also other metabolic imbalances.
  • Use energizers, including certain medications, high levels of caffeine, tobacco and alcohol.
  • Viral infections.

Some people who have atrial fibrillation have no  recognized heart problems or heart damage.

Risk variables. Heart attack assessment.
Things that can  boost the  threat of atrial fibrillation (A-fib) include:.

Age. The older a person is, the greater the risk of  creating atrial fibrillation.

Heart disease. Anyone with heart disease– such as heart valve issues, congenital heart disease, heart disease, coronary artery illness, or a history of cardiovascular disease or heart surgical treatment– has an boosted danger of atrial fibrillation.

High blood pressure. Having hypertension, particularly if it’s not well managed with way of living modifications or medicines, can raise the danger of atrial fibrillation.

Thyroid condition. In some people, thyroid issues may trigger heart rhythm issues (arrhythmias), consisting of atrial fibrillation.

Other persistent wellness conditions. People with certain chronic problems such as diabetic issues, metabolic syndrome, chronic kidney disease, lung disease or sleep apnea have an raised risk of atrial fibrillation.

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

Weight problems.  Heart attack assessment.  Individuals that have weight problems go to greater danger of developing atrial fibrillation.

Family history. An boosted risk of atrial fibrillation happens in some families.

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

In atrial fibrillation, the  disorderly heart rhythm can  trigger blood to collect in the heart’s  top chambers ( room) and form  embolisms. Heart attack assessment.  If a embolism in the left top chamber (left atrium) breaks free from the heart area, it can travel to the brain as well as trigger a stroke.

The  danger of stroke from atrial fibrillation increases as you  age. Other health  problems  likewise may  boost your  threat of a stroke  as a result of A-fib, including:.

  • High blood pressure.
  • Diabetes.
  • Cardiac arrest.
  • Some valvular heart disease.
  • Blood thinners are  frequently  suggested  to stop  embolism  as well as strokes in  individuals with atrial fibrillation.

Prevention.
Healthy lifestyle options can minimize the threat of heart disease and might avoid atrial fibrillation. Heart attack assessment.  Here are some basic heart-healthy tips:

  • Consume a healthy diet regimen.
  • Obtain normal exercise as well as maintain a healthy weight.
  •  Do not smoke.
    Stay clear of or limit alcohol as well as high levels of caffeine.
  •  Take care of  anxiety, as intense  tension and anger can  create heart rhythm problems.

 

Osteoporosis Risk – Heart Attack Assessment

An ultrasound is  carried out to  gauge the shin bone for  unusual bone mass  thickness. Heart attack assessment.  This can help evaluate the threat of weakening of bones, a disease where bones come to be weak as well as fragile.

Osteoporosis causes bones to end up being weak and also breakable – so weak that a loss or even light stresses such as bending over or coughing can create a fracture. Osteoporosis-related fractures most typically occur in the hip, wrist or back.

Osteoporosis affects men and women of all races. White as well as Asian females, particularly older females who are previous menopause, are at greatest danger. Medications, healthy and balanced diet plan as well as weight bearing workout can assist prevent bone loss or strengthen currently weak bones.

 Signs and symptoms.
There commonly are no signs and symptoms in the onset of bone loss. Once your bones have been damaged by weakening of bones, you could have signs and symptoms that consist of:.

  • Pain in the back, caused by a fractured or broke down vertebra.
  • Loss of height with time.
  • A stooped pose.
  • A bone that breaks much more  conveniently than expected.

 Reasons.
Comparing the  inside of a healthy bone with one that has become  permeable from  weakening of bones.
 Weakening of bones  deteriorates bone.

 Just how likely you are to  create  weakening of bones depends  partially on  just how much bone mass you  obtained in your  young people. Peak bone mass is  partially  acquired and  differs also by ethnic group. The  greater your peak bone mass, the more bone you have “in the bank” and the  much less  most likely you are to  establish osteoporosis as you age.

 Danger  aspects.
A variety of factors can boost the possibility that you’ll develop weakening of bones– including your age, race, lifestyle selections, and clinical conditions and therapies. Heart attack assessment.

Unchangeable risks.
Some risk variables for weakening of bones are out of your control, including:

  • Your sex. Ladies are a lot more likely to create weakening of bones than are men.
  • Age. The older you get, the better your threat 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 moms and dad or brother or sister with osteoporosis puts you at higher threat, especially if your mommy or daddy fractured a hip.
  • Body framework size. Men and women that have small body frames tend to have a higher danger since they may have less bone mass to draw from as they age.
  •  Hormonal agent levels.

Weakening of bones is a lot more common in individuals that have way too much or inadequate of certain hormones in their bodies. Instances include:

 The  loss in estrogen levels in  females at menopause is one of the strongest risk  variables for  establishing osteoporosis.  Therapies for prostate cancer that  minimize testosterone  degrees in men and  therapies for breast  cancer cells that  minimize estrogen  degrees in  females are likely to accelerate bone loss. 

 Nutritional  elements.
 Weakening of bones is  more probable to  happen in people who have:

Reduced calcium intake. A long lasting lack of calcium contributes in the development of osteoporosis. Reduced calcium intake contributes to diminished bone density, early bone loss as well as an increased risk of fractures.

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

Lasting use of oral or infused corticosteroid medicines, such as prednisone as well as cortisone, interferes with the bone-rebuilding procedure. Heart attack assessment.  Weakening of bones has actually likewise been associated with medications utilized to combat or stop:

  • Seizures.
  • Stomach reflux.
  • Cancer.
  • Transplant being rejected.
  •  Clinical  problems.

The  danger of  weakening of bones is  greater in people who have  particular medical problems, including:.

  • Celiac condition.
  • Inflammatory digestive tract illness.
  • Kidney or liver illness.
  • Cancer.
  • Several myeloma.
  • Rheumatoid joint inflammation
  • Lifestyle  options.

Some bad habits can boost your threat of osteoporosis. Instances consist of:

Less active way of life. Individuals that spend a lot of time resting have a greater risk of weakening of bones than do those that are a lot more active. Any type of weight bearing workout and also activities that advertise equilibrium and also great posture are valuable for your bones, however walking, running, leaping, dancing as well as weight-lifting appear especially handy.
 Extreme alcohol  intake. Heart attack assessment.  Routine usage of more than two alcohols a day boosts the risk of osteoporosis.

Cigarette usage. The precise function cigarette plays in osteoporosis isn’t clear, yet it has actually been shown that cigarette usage contributes to weak bones.

Issues.
 Just how  weakening of bones can cause vertebrae to crumple and collapse.
Compression  cracks.

In some cases, spinal  cracks can occur even if you haven’t fallen. The bones that make up your spine (vertebrae) can weaken to the point of collapsing, which can  lead to  neck and back pain,  shed height and a hunched  onward  pose.

 Avoidance.
Good nutrition and  normal exercise are  vital for keeping your bones  healthy and balanced throughout your life.

Calcium.
 Males and female  in between the ages of 18  and also 50  demand 1,000 milligrams of calcium a day. This  day-to-day amount  raises to 1,200 milligrams when women turn 50  as well as men  transform 70.

Great resources of calcium include:

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

 

The Health  and also Medicine Division of the National Academies of Sciences, Engineering,  as well as Medicine  advises that  overall calcium  consumption, from supplements  as well as diet combined,  ought to  disappear than 2,000 milligrams daily for  individuals older than 50.

Vitamin D.
Vitamin D  enhances the body’s  capacity to  take in calcium and  enhances bone  health and wellness in  various other  means. Heart attack assessment.  People can obtain a few of their vitamin D from sunlight, yet this may not be a great source if you stay in a high latitude, if you’re housebound, or if you frequently utilize sun block or avoid the sunlight due to the threat of skin cancer cells.

 Nutritional  resources of vitamin D  consist of cod liver oil, trout and salmon.  Lots of  kinds of milk  as well as cereal have been  strengthened with vitamin D.

Most  individuals need  a minimum of 600 international  devices (IU) of vitamin D a day. That  suggestion increases to 800 IU a day after age 70.

Individuals without various other sources of vitamin D as well as particularly with limited sun direct exposure could need a supplement. Most multivitamin items consist of between 600 as well as 800 IU of vitamin D. Up to 4,000 IU of vitamin D a day is safe for most people.

 Workout.
Exercise can aid you construct solid bones and also slow bone loss. Heart attack assessment.  Exercise will certainly profit your bones anytime you begin, but you’ll acquire one of the most advantages if you start working out consistently when you’re young and continue to work out throughout your life.

Weight-bearing workouts– such as walking, running, running, stairway climbing, avoiding rope, snowboarding as well as impact-producing sports– influence mainly the bones in your legs, hips and lower back. Balance exercises such as tai chi can lower your risk of falling especially as you get older.

 

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