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We have all seen movies where right before the hero starts fighting, he cracks his knuckles and makes it look like the coolest thing in the world! But then our parents told us that you should not crack your knuckles because that weakens your grip and hand strength. But is that true? While many people do say that they experience a small loss in strength immediately after they crack their knuckles, but are their long-term effects to it? And what is the sound actually coming from?
The reason why people crack their fingers is because the evident and sharp crack noise causes a sense of relief. Many people also do it when they have done an activity that required them to work with their hands a lot like typing or sewing, giving themselves a sense of satisfaction, similar to stretching after doing hard work. That "crack" sound can make some people cringe, while others find it strangely satisfying. Cracking your knuckles is a pretty common habit, but there are a lot of misunderstandings about it. Some people do it without even thinking, others can't stand the noise, and some can't crack their knuckles at all. You might have been told as a kid that it causes arthritis or makes your fingers swell up. But those are just old wives' tales. There's a real science behind this habit, and it's more interesting than you may think.
The "crack" isn't actually bones breaking or anything bad happening to your joints. It's a normal thing called "crepitus." This just means harmless popping, snapping, or grinding sounds that come from your joints. The main reason you hear this sound is because of gas bubbles in the fluid that cushions your joints. This fluid is called synovial fluid. When you move or stretch, these tiny bubbles form and then pop, making the sound. It's totally normal and doesn't hurt you. Sometimes, especially in bigger joints like your knees, shoulders, or ankles, the sound can also happen when the stretchy tissues that connect your bones (ligaments and tendons) move slightly and then snap back into place.
After you crack your knuckles, you can't usually do it again right away. You have to wait a bit. That's because the gas bubbles in your joint fluid have already popped, and it takes a little while for them to build up again. While cracking your knuckles doesn't give you arthritis, doing it too much might cause some problems. Doctors say that cracking them too often could make your joints a little wobbly and might even make your grip weaker. Also, if the stretchy tissues in your joints keep snapping over your bones, they can get irritated and sore.
Sometimes, a pop in your joint is just like cracking your knuckles, nothing to worry about. But other times, it can be a sign of something else. As we get older, the cushiony stuff in our joints, called cartilage, can start to wear down. This cartilage helps your bones move smoothly. When it gets thin or uneven, the bones can rub together, and that can make a grinding or popping sound. This is different from the pop you get from gas bubbles. If this grinding sound happens along with pain, it could be a sign of osteoarthritis. This is a type of joint problem that's more common in older people, but younger people can get it too, especially after a joint injury. If your joints hurt, especially in the morning or after you've been sitting still for a while, feel wobbly, or are hard to move, it's a good idea to see a doctor.
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Ahead of World Diabetes Day observed on November 14, singer Nick Jonas recently opened up about living with type 1 diabetes for almost 21 years. Diagnosed at the age of 13, Jonas spoke about his daily decision-making that revolves around managing the condition. From monitoring blood glucose levels to adjusting insulin doses around meals and physical activity, Jonas expressed the emotional challenges of living with the disease.
In an open letter written for Dexcom's A Letter to Diabetes campaign, Jonas described the condition as an ongoing part of his everyday life. “Twenty-one years, and you haven’t changed a bit,” he wrote, addressing diabetes.
He also explained how frequently he has to monitor his glucose levels and make treatment decisions. “Staring at my phone to see where my glucose is. Reaching for my pump to bolus because I’m about to eat something with 17 carbs. Those are just a couple of the hundreds of little decisions I make every week,” Jonas wrote.
He described diabetes as “an ongoing conversation between your body, your mind, and your devices.”
The singer also recalled the emotional challenges of living with a chronic condition. However, he said that speaking openly about diabetes helped him find a sense of community and connect with others experiencing similar challenges.
Also read: Can Ozempic, Mounjaro Drugs Protect The Brain? What A New Review Found
Type 1 diabetes is a chronic autoimmune condition in which the body's immune system mistakenly attacks and destroys beta cells that produce insulin in the pancreas.
Insulin is a hormone that helps move glucose from the bloodstream into cells, where it is used for energy. When the body produces little or no insulin, glucose builds up in the blood, resulting in high blood sugar levels.
Type 1 diabetes is different from type 2 diabetes as the latter occurs due to insulin resistance and can be a result of genetic and lifestyle factors. In short, type 1 diabetes is not caused by eating excessive carbohydrates and sugar, obesity or leading an inactive lifestyle.
Type 1 diabetes can also develop at any age, although it is frequently diagnosed during childhood or adolescence.
Also read: High-Fibre Diet Outperforms Metformin In Blood Sugar Control And Weight Loss, Study Finds
Symptoms can develop quickly, sometimes over a few weeks. Common warning signs include:
If type 1 diabetes is not diagnosed and treated on time, it can lead to diabetic ketoacidosis (DKA), a life-threatening complication.
Warning signs including nausea, vomiting, abdominal pain, deep or rapid breathing, fruity-smelling breath and confusion need immediate medical attention.
Managing type 1 diabetes involves maintaining blood glucose levels within a specific target range to reduce the risk of both high and low blood sugar. Treatment includes:
People with type 1 diabetes need insulin throughout their lives. It may be administered through multiple daily injections or an insulin pump which delivers insulin continuously.
Blood glucose can be monitored using instant finger-prick tests or continuous glucose monitoring (CGM) devices. CGM systems use a sensor to track glucose levels throughout the day and night.
People with type 1 diabetes need to understand how carbohydrates affect blood glucose levels so they can adjust insulin doses accordingly.
Exercise is encouraged, but physical activity can affect glucose levels depending on its intensity, duration, timing and the amount of insulin in the body. People may need to adjust their food intake or insulin doses to reduce the risk of hypoglycaemia.
Routine assessments help monitor glucose control and identify complications affecting the eyes, kidneys, nerves and cardiovascular system.
Type 1 diabetes diagnosis does not mean a person has to give up their career, travel, exercise or other ambitions. But living with this condition involves planning and attention to blood glucose levels, food, medication and physical activity.
Jonas has spoken about the importance of not allowing the condition to define his life. In an earlier interview with NIH's MedlinePlus Magazine, he shared a message for others living with type 1 diabetes, “Know that you can still do anything you want to do with your life.”
There is no cure for type 1 diabetes currently but advances in insulin delivery, glucose monitoring and research into therapies that preserve or replace insulin-producing cells are expanding treatment possibilities.
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Pregnancy is often something women prepare for months in advance. They discuss nutrition, exercise, supplements, medical check-ups and what to expect as their bodies change. Menopause, however, rarely receives the same attention. It is often treated as a stage that women will simply reach one day and somehow manage along the way.
But menopause is also a major transition in a woman’s life, and being prepared for it can help make the experience easier to understand and manage.
Menopause itself is defined as the point when a woman has gone 12 consecutive months without a menstrual period. However, the transition usually begins earlier, during perimenopause, when changing hormone levels can lead to irregular periods, hot flashes, night sweats, sleep problems, mood changes and other symptoms. These changes can begin several years before menopause itself.
Preparation does not mean trying to prevent menopause or “balance” hormones before it happens. Most healthy women do not need supplements or hormones simply because menopause is approaching. Instead, preparation is about understanding what is happening and building a strong foundation for health.
Also read: At 58, She Mistook Memory Lapses For Menopause Brain Fog, But Tests Revealed Alzheimer’s Risk
Regular physical activity is one of the most useful habits to establish. Weight-bearing and resistance exercises can help maintain bone strength and muscle mass, which become increasingly important in midlife and beyond. Exercises that improve balance, coordination and proprioception, or the body’s awareness of its position and movement, can also support mobility and help reduce the risk of falls as women age.
Nutrition is equally important. A well-balanced diet should provide adequate protein along with essential vitamins and minerals. Calcium and vitamin D are particularly important for bone health, while a varied diet rich in vegetables, fruits, whole grains, pulses, nuts and other nutrient-dense foods can support overall health. Maintaining a healthy weight is also beneficial during this transition.
It is equally important to pay attention to cardiovascular and metabolic health. Regular checks of blood pressure, cholesterol and blood sugar can help identify common non-communicable diseases early. Avoiding smoking, staying physically active and maintaining healthy lifestyle habits can also support long-term health.
Preventive healthcare should not be overlooked either. As women enter midlife, keeping up with age-appropriate cancer screenings and routine health check-ups becomes an important part of looking after their health. The appropriate screening schedule can vary depending on age, family history, personal risk factors and local guidelines, so these should be discussed with a healthcare provider.
Just as importantly, women should become familiar with their own symptoms. Changes in periods, sleep, mood, body temperature, sexual health or concentration should not automatically be dismissed as “just ageing.” Keeping track of symptoms can help women recognise patterns and have more productive conversations with their healthcare provider.
Medical support is also an important part of preparation. Not every woman will experience menopause in the same way, and treatment is not automatically necessary. However, when symptoms begin to interfere with sleep, work, relationships or everyday life, hormonal and non-hormonal treatment options can be discussed with a doctor.
Perhaps the biggest change we need is in how we talk about menopause. It is not an illness, nor is it something women should simply suffer through in silence. It is a natural stage of life, but that does not mean its symptoms or its wider effects on health should be ignored.
Preparing for menopause is ultimately less about predicting exactly what will happen and more about entering this stage with knowledge, healthy habits and access to the right medical support. Women spend years preparing for major changes in their bodies. Menopause deserves that same attention.
By Dr Ponny M S, Consultant - Gynaecologist & Laparoscopic Surgeon, Apollo Adlux Hospital, Keralam
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Delhi's air quality deteriorated sharply after Diwali celebrations, with several monitoring stations recording 'Severe' pollution levels on Monday, November 9. As firecracker emissions added to the city's existing pollution burden, concerns are mounting over the impact of toxic air on children's respiratory health.
For children, prolonged exposure to polluted air can be particularly concerning. What may initially appear to be a seasonal cough or minor throat irritation could become more serious if coughing persists or is accompanied by wheezing and breathlessness. Children with asthma or other respiratory conditions may be especially vulnerable, as poor air quality can aggravate their existing symptoms.
But how can parents distinguish a routine cough from a warning sign of respiratory distress? When should they seek medical attention, and what precautions can help protect children? HealthandMe spoke to pulmonologists to understand the symptoms parents should watch for and when to worry.
Also read: Delhi AQI Crosses 2,000 Mark After Diwali: What Happens To Your Body Within Hours Of Exposure?
If a child develops a cough or wheezing, the first step is to minimise further exposure to polluted air.
Dr Nikhil Rajvanshi, Consultant – Pediatric Pulmonologist, Allergy and Sleep Specialist at Rainbow Children's Hospital, Delhi, advises parents to avoid outdoor play, running and strenuous physical activity when AQI levels are high.
Parents should also keep windows closed during peak pollution periods, use a HEPA air purifier if available, and ensure children wear a well-fitted N95 mask if they are old enough to tolerate it safely.
For children with diagnosed respiratory conditions such as asthma, following their prescribed treatment plan is important.
"If the child has a diagnosed respiratory condition such as asthma, parents should follow the prescribed action plan and administer inhalers or nebulisation only as advised by their doctor. Inhaled medication should never be started or discontinued without medical guidance," Dr Rajvanshi told HealthandMe.
He also cautioned against routinely giving children antibiotics or over-the-counter cough and cold medicines without consulting a paediatrician.
A cough does not always indicate a serious respiratory problem, but certain symptoms need prompt medical assessment.
Dr Rajvanshi said parents should watch for:
A child who is struggling to breathe, has pauses in breathing or develops bluish lips needs emergency medical care. Infants below three months with a temperature of 38°C or higher also require prompt medical assessment.
One important distinction parents should understand is that wheezing is not simply another form of coughing.
Dr Rajvanshi explained that wheezing is a whistling sound, usually heard while breathing out, and may indicate narrowing of the airways.
Recurrent wheezing, night-time coughing or coughing that worsens during physical activity should be evaluated by a paediatrician rather than dismissed as a seasonal cough.
He also emphasised that good nutrition can support a child's general immunity but cannot replace appropriate respiratory treatment. Reducing pollution exposure, recognising symptoms early and seeking timely medical attention remain important.
Dr Kuldeep Kumar Grover, Associate Director – Pulmonology and Critical Care at CK Birla Hospital, Gurgaon, said an appropriately fitted N95 or FFP2 respirator offers better protection against fine particulate matter than a cloth or surgical mask.
However, the mask must fit snugly around the nose and mouth, without gaps.
He advised people to avoid outdoor running, brisk walking, cycling and strenuous exercise during periods of high pollution, as increased breathing rates can lead to greater inhalation of pollutants.
Children, older adults, pregnant women and people with asthma, COPD or heart disease should be particularly cautious and minimise prolonged outdoor exposure.
At home, families should keep windows and doors closed when outdoor pollution is high, use a HEPA air purifier where possible, and maintain good indoor ventilation when outdoor air quality improves.
People with asthma or other chronic respiratory conditions should continue their prescribed medication and keep their rescue inhalers accessible.
"Anyone experiencing severe breathing difficulty or chest pain should seek immediate medical attention," Dr Grover told HealthandMe.
He added that air pollution can affect even healthy individuals, so precautions should not be limited to those with pre-existing respiratory conditions.
"The objective is not to stop stepping outdoors altogether, but to make informed decisions about when, where and how long we expose ourselves to polluted air," he said.
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