Whelehans Health Blog

Asthma (Part 3)   Other treatment options   Leukotriene receptor antagonists (montelukast): an oral drug that acts by blocking part of the chemical reaction involved in inflammation of the airways. Montelukast is particularly beneficial for two types of asthma: asthma predominantly induced by exercise Asthma associated with allergic rhinitis.   Theophylline: helps widen the airways by relaxing the muscles around them. Theophylline is known to cause potential side effects, including headaches, nausea, insomnia, vomiting, irritability, and stomach upsets. These can usually be avoided by adjusting the dose. It has a narrow therapeutic index meaning the balance between sub-optimal dosage and...

Asthma (Part 2) Treatment   Treatment is based on relief of symptoms and preventing future symptoms and attacks from developing.   Short-acting beta 2-agonist (SABA) These are best known as a reliever inhaler. These work quickly to relieve asthma. They work by relaxing the muscles surrounding the narrowed airways. Examples of beta 2-agonists include salbutamol and terbutaline. They are usually blue in colour. They are generally safe medicines with few side effects unless they are overused. It is important for every asthmatic to have a beta-2 agonist inhaler. If an asthmatic need to use their beta agonist inhaler too regularly (three...

Asthma Part 1   Asthma is a long-term condition that can cause a cough, wheezing and breathlessness. Earlier in 2021, I discussed new medication recently on the market for severe asthma. Over the next few weeks in the Topic, I give a more general overview of asthma.   Causes                                                                                                                      The airways become over-sensitive and react to stimuli that would normally not cause a problem, such as cold air or dust. Muscles around the wall of the airway tighten up, making it narrow and difficult for air to flow in and out. The lining of the airway’s swells, and sticky mucus...

Lower back pain and pilates Part 2   Flexibility Hamstring tightness and decreased low back flexibility have been highlighted as risk factors for low back pain. Pilates exercises encourage a combination of static and dynamic stretching, pushing the muscles to an end of range of tightness rather than discomfort. The response of contractile tissues to stretch is improved muscle length, which allows a more efficient pattern of movement and reduces stress on stiff muscles and joints. What does Pilates entail? Pilates exercises are primarily floor based. Some exercises are also performed in standing, which have the added advantage of training...

Lower back pain and pilates Part 1 Low back pain is a common problem associated with significant negative effects, physically, emotionally, and socially. The majority of low back pain (LBP) cases are diagnosed as non-specific low back pain, meaning there is no known cause for the pain. Acute non-specific low back pain (ANSLBP) is defined as pain lasting less than 4 weeks duration, while chronic non-specific low back pain (CNSLBP) refers to pain persisting for longer than three months duration. There are a range of evidence based therapeutic interventions designed for the management of low back pain. Among these, exercise...