This week Dr Roarty looks at one of the causes of painful burning feet. Peripheral neuropathy describes damage to the nerves that connect your central nervous system – CNS – (i.e. your brain and spinal cord) and the rest of your body. Peripheral nerves carry information from your body to to your CNS ( eg to allow you feel hot and cold things) or from your CNS to your body ( eg to stimulate your muscles to move) or from your CNS to your organs (eg to keep your heart beatng). Problems with these nerves are quite common affecting about 2 in 100 people. Damage can occur acutely and suddenly or more commonly over a period of time and is called chronic peripheral neuropathy. One or more nerves may be damaged. What causes it?There are a large number of causes. A common cause is Diabetes where high blood sugar levels damage nerves. Dietary deficiencies such as Vitamin B12 or folate also cause damage. Certain medicines such as chemotherapy which is used to treat cancer as well as cancer itself can cause nerve damage. Excessive alcohol intake is well known to damage to our peripheral nerves as well as certain toxins such as solvents (used by people who sniff glue). Certain infections such as HIV and Lyme disease are also culprits as well as connective tissues diseases such as Rheumatoid Arthritis and Systemic Lupus Erythematosus. There are some herditary diseases which cause peripheral neuropathy as well as some inflamatory conditions such as Coeliac disease and sarcoidosis. Acute injuries such as broken bones or nerve compression injuries are also well recognised causes. Sometimes no cause is ever identified. Symptoms.The symptoms depend on which type and how many nerves are affected. Sensory neuropathy (where nerves which sense things are damaged) results in tingling and numbness in the part of the body affected. A person may lose the ability to sense pain, heat or cold and may have problems with co-ordination, because the brain has difficulty distinguishing where exactly the various parts of your body are in space. He or she may also suffer from burning or shooting pains which initially affect the hands or feet and are usually worst at night. Motor neuropathy (where nerves supplying the muscles are affected) can cause muscle weakness, muscle wasting, twitching, cramps and eventually paralysis. Neuropathy affecting the nerves supplying your organs can result in dizziness (due to low blood pressure) , sweating problems, incontinence, constipation, diarrhoea and erectile dysfunction. What tests will the doctor do?If your doctor suspects peripheral neuropathy either from the symptoms that you describe or at a routine checkup – eg at a diabetic review, he or she will usually inquire about your symptoms, your family history, your medicines, your alcohol intake and any poisonous substances that you may have been exposed to in the past. The doctor will examine you for any signs of peripheral neuropathy eg muscle weakness or difficulty sensing touch. Usually blood tests will also be required and if necessary you may be referred to a specialist in this area, called a neurologist, who may order further tests. What is the treatment?Treatment involves the management of any underlying conditions eg correcting vitamin b12 deficiency, or poor diabetic control or reducing alcohol intake, as well as symptom relief and help to achieve a good quality of life. Some symptoms such as pain can be difficult to treat but certain types of medications can help. Some medications that are used to treat other conditions such as epilepsy or depression have also been found to be helpful in treating peripheral neuropathy. Symptoms related to low blood pressure are treated with different medication while bowel or bladder problems are treated with different medicines again. Physiotherapists and occupational therapists can help if peripheral neuropathy is causing muscle weakness. Certain exercises and aids may be of help. Numbness and an inability to feel pain means that care must be taken not damage or hurt the hands or feet unintentionally. Wearing supportive shoes and avoiding things like hot water bottles as well as careful and regular examination of the feet for injuries will also help. The prognosis?Early detection and treatment has a better prognosis than late. However in severe neuropathy the damage may be permanent. Avoiding excessive alcohol and a healthy balanced diet with good weight control and regular exercise will help prevent some of the causes of peripheral neuropathy. The above information is intended as advice only and should you have any concerns please contact your own Doctor. Dr Ciarán Roarty MB, BCh BAO MICGP DRCOG Grad. Cert. Obst. Ultrasound is a full-time GP at Scally McDaid Roarty Medical Practice , Scally Place, Letterkenny, Tel 0749164111scallys.ieMedical Matters: Doctor, why do my feet burn? was last modified: June 21st, 2019 by Scally McDaid RoartyShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)Tags:burning feetMedical Mattersperipheral neuropathy
Chelsea dropped points against Southampton but should not be ruled out of the title race just yet.Betting on Chelsea to win the Premier League might seem like a strange move, but a couple of astute January signings could change the picture very quickly.The Blues are 10 points behind leaders Liverpool and missed the chance to go five points clear of fifth-placed Arsenal when they only managed a goalless draw at Stamford Bridge on Wednesday.But Chelsea are not that far away from being a side capable of challenging the likes of Liverpool and Manchester City – as their long unbeaten start under boss Maurizio Sarri showed.They have wobbled since then, of course, but Chelsea are still strong in almost every area of the pitch.The defence has had some problems but the likes of Cesar Azpilicueta, Antonio Rudiger and David Luiz have performed on a consistent basis.There has been some adjustments needed in midfield, with Jorginho adapting to English football and N’Golo Kante to a new attacking role.But the depth of midfield talent Chelsea possess is beyond dispute, with Sarri able to also call upon the likes of Ross Barkley, Ruben Loftus-Cheek, Mateo Kovacic and Cesc Fabregas.Eden Hazard is obviously the talisman, while Willian and Pedro continue to provide more than adequate support for the attack.It’s that attack where Chelsea are compromised – they badly need to improve that front line.Alvaro Morata continues to struggle, Sarri has never seemed convinced by Olivier Giroud, and Hazard as a ‘false number nine’ can only be a short-term measure.Chelsea need a striker – and Sarri said as much after the draw with Southampton.And if they can get one, there is every chance that Sarri’s side could be a much stronger outfit during the second half of the season.There is no doubt they would be significantly closer to Liverpool had their shortcomings in the final third of the pitch not been so evident – as the Southampton game highlighted.With a cutting edge up front, Chelsea are certain to pick up plenty more points and therefore cannot be ruled out of the title race. Take a closer look at the race statistics at www.signupbonuses.co.uk, to help you make up your mind who will finish top of the league this year. Bournemouth’s England striker Callum Wilson is a transfer target and his pace and finishing suggest he could make a major difference for Chelsea.So too could Gonzalo Higuain, who played under Sarri at Napoli and is reportedly keen to join him in west London.Argentina international Higuain is currently on loan at AC Milan from Juventus but is seemingly keen for that season-long deal to be scrapped so he can instead join Chelsea.Chelsea have simply failed to replace Diego Costa and without the Spain forward have gone from title winners under Antonio Conte to also-rans struggling to stay in the race for a Champions League place.But their blistering winning run during Conte’s title-winning season, which came after a poor start, showed how suddenly a top side can emerge.With a Wilson or Hugain in the team, the Blues could be similarly transformed during the second half of the campaign.Those odds of another title triumph will quickly come in if that happens. So now might well be the perfect time to bet on Chelsea winning the Premier League. Follow West London Sport on TwitterFind us on Facebookby Taboolaby TaboolaSponsored LinksSponsored LinksPromoted LinksPromoted LinksRecommended for youAspireAbove.comRemember Pauley Perrette? Try Not To Smile When You See Her NowAspireAbove.comUndoLifestly.com25 Celebs You Didn’t Realize Are Gay – No. 8 Will Surprise WomenLifestly.comUndoUsed Cars | Search AdsUsed Cars in Tuen Mun Might Be Cheaper Than You ThinkUsed Cars | Search AdsUndoTopCars15 Ugliest Cars Ever MadeTopCarsUndoezzin.com20 Breathtaking Places to See Before You Dieezzin.comUndoFood World Magazine15 Fruits that Burn Fat Like CrazyFood World MagazineUndoDrhealth35 Foods That Should Never Be Placed in the RefrigeratorDrhealthUndoHappyTricks.comHer House Always Smells Amazing – Try her Unique Trick!HappyTricks.comUndo
In the nine years since he left the 49ers, former general manager Scot McCloughan hasn’t missed many chances to drop a judgment call on his former employer.Two recent examples: During a recent game, McCloughan took to Twitter to criticize quarterback Jimmy Garoppolo, recovering from surgery to repair his left ACL, for watching the action from a suite.Why is Jimmy G in a suite when all his teammates are on the field fighting to get a W?— Scot Mccloughan (@MccloughanScot) November 13, 2018 …
SAN JOSE — Erik Karlsson is “getting close.” He just isn’t close enough to rejoin the Sharks lineup yet.Karlsson will miss his ninth straight game with a groin injury when the Sharks take on the Washington Capitals at SAP Center on Thursday. The Sharks defenseman skated for roughly 20 minutes after the Sharks morning practice Thursday morning, practicing cuts, hard stops and a variety of turns.The decision to keep Karlsson off the ice for another game isn’t entirely surprising. Karlsson just …
Janikowski, as well as a handful … How close are Sebastian Janikowski and Shane Lechler?Janikowski knew his best friend was announcing his retirement even before Lechler did.Lechler didn’t play in 2018 after rejecting overtures from three teams. He knew he was retiring but hadn’t figured out a way to make it public. Enter Erin Lechler, Shane’s wife, who quietly organized a retirement party in Houston for approximately 180 guests.Her husband reacted as if he’d shanked a 20-yard punt.
7 September 2009Scooter and motorcycle retailer Vuka Scuta has bought out Loncin South Africa, taking over their current stock and parts inventory as well as distribution of their Chinese-manufactured range of street bikes, scooters, quad bikes, off-road bikes and cruisers.Vuka South Africa MD Kevin Ferreira said Vuka was approached by Loncin, who were looking for a buyer which could offer its own distribution channels, retail outlets and maintenance support, and added that he viewed the buy-out as a perfect opportunity for market consolidation in the current economic climate.“Loncin is a well-established brand with prime quality products, and the deal will enable us to introduce a number of new models within a short period of time,” Ferreira said in a statement last week.“We viewed this as a great way for product diversification, and believe that the new brand can assist us in penetrating new markets.”According Business Report, the deal is valued at between R3-million and R4-million.Strong national footprintWhile Loncin South Africa distributed their motorcycles via third-party dealers, Vuka has built a strong national footprint of corporately owned stores.Vuka has committed itself to continue serving Loncin’s existing customer base with services, spare parts and routine maintenance, and will honour all current warranties, and will also offer training and support for all their branches to ensure that the take-over does not adversely affect Loncin customers.“Loncin is a major quality manufacturer, and the only Chinese manufacturer taking part in the 125cc class of MotoGP,” said Ferreira.“Loncin was also appointed by BMW Motorrad to manufacture their 650cc cross country engine, due to their technical capability, and the company remains China’s biggest two-wheeler exporter.”Regional expansionVuka has also been appointed by Loncin China to distribute to countries such as Lesotho and Swaziland, and will also explore distribution opportunities into the rest of the African continent.“With their wider range of models priced between R6 000 and R30 000, Vuka will also be able to meet a broader consumer demand and appeal to new customers,” Ferreira said.SAinfo reporterWould you like to use this article in your publication or on your website? See: Using SAinfo material
Thomas Aiken (Spanish Open), Garth Mulroy (Alfred Dunhill Championship), and Hennie Otto (South African Open) added further wins in European Tour events , while the only South African winner on the PGA Tour was not Ernie Els or Retief Goosen, it was Rory Sabbatini, who won the Honda Classic in March. Looking back over the past sporting year for South Africa, one sport stands out above any others: South African golfers enjoyed a superb year and, despite their wonderful record over the years, may have reached new heights. Caster Semenya attained her best form since she won the World Championships in Berlin in 2009 when she too won silver, once more in the 800 metres. LJ van Zyl added a bronze medal in the 400 metres hurdles in which Cornel Fredericks finished fifth. World recordThere was a world record for striker Pietie Coetzee, who became the all-time leading goal scorer in women’s international hockey at the FIH Champions Challenge in Dublin when she netted four goals in South Africa’s 5-5 draw with the USA which took her career tally to an incredible 222 goals in 224 tests. South African tennis enjoyed a good year as the sport experienced something of a revival, thanks to its top singles players. After being skittled for only 96 in their first innings, the Proteas trailed Australia by 188 runs on the first innings, but in an extraordinary turn of events they then ran roughshod through the Australian batting, dismissing the visitors for 47 after having them on 21 for 9 at one stage. South Africa went on to win by eight wickets in an incredible match that lasted only three days. Epic championSouth African cyclists and cycling events continued to excel. The country produced its first winner of the Absa Cape Epic when Burry Stander and Christoph Sauser of Switzerland claimed a convincing victory. Stander also won the African Mountain Bike Championships and the South African Marathon title. South African golf scored a major coup when it was announced in April that the country would host a World Golf Championship event from 2012. The tournament will feature the world’s top 70 players and prize money will be in the region of $10-million. The world’s finest all-round paddlerOut on the water, Hank McGregor confirmed his status as the finest all-round paddler in the world when he claimed the 2011 ICF Canoe Marathon World Championships K1 title in Singapore in October. In swimming, the future was also revealed as Chad le Clos captured the overall Fina/Arena World Cup title, following in the footsteps of Ryk Neethling and Cameron van der Burgh. Le Clos and van der Burgh should lead South Africa’s medal hopes in the pool at the 2012 London Olympic Games. South African rugby produced a world beater in Sevens Stars Cecil Afrika who was recognised by the International Rugby Board as the World Sevens Player of the Year in October. He was both the top try scorer and top points scorer in the HSBC World Sevens Series. He had earned a hat-trick of titles in the Fish River Canoe Marathon earlier in the month with Grant van der Walt. In July, he romped to a record eighth win in the Berg River Canoe Marathon, rated by many as the toughest race of its kind in the world. Prior to that, he had secured his third Surfski World Cup title off Durban in July. He also began the year with a successful defence of his Drak Challenge title. Els, though, received a massive honour when he joined the legendary Gary Player in the World Golf Hall of Fame in May. At the time, he had 62 career titles to his name, including two US Opens and one Open Championship. Bianca Buitendag topped the world’s best in January when she lifted the Billabong ASP Women’s World Junior Championships in New South Wales, Australia. 23 December 2011 Most significant victory of 2011Charl Schwartzel was next into the winner’s circle, successfully defending his Joburg Open title. He then went on to record what was arguably the most significant victory by a South African sportsperson in 2011, by capturing the 75th US Masters at Augusta by two strokes after closing with a stunning four birdies in succession. The Proteas again fell disturbingly short of success in a major ICC event when they were surprisingly defeated by New Zealand in the quarterfinals of the World Cup, but they produced one of the most memorable victories of the year in the sport when they beat Australia in the first test in Cape Town in November. Pietermaritzburg was awarded a leg of the UCI World Cycling Tour and hosted the Mzunduzi Road Challenge for the first time in October. The race will in 2012 serve as the UCI World Cycling Tour Final. With Afrika to the fore, the South African Sevens team enjoyed a good season, finishing second in the overall standings and winning three tournaments – in Las Vegas, London and Edinburgh – including the last two of the season back-to-back. Currie Cup surpriseWhile the Springboks didn’t make the World Cup final in New Zealand, referee Craig Joubert did, and when the Springboks returned they couldn’t do enough to stop the Lions, a team with few Boks in their line-up, from capturing their first Currie Cup title since 1999 and their first at home since 1950 with a 42-16 thrashing of the defending champion Sharks. Chani Scheepers became the first South African woman since Amanda Coetzer in 2003 to win a WTA Tour event when she lifted the Wanlima International Women’s Open in Guanzhou, China, in September. While golf was the sport that stood out most for South Africans, there were plenty of other performances and achievements to celebrate. Comrades Marathon winner Stephen Muzhingi of Zimbabwe made his mark when he became the first man since Bruce Fordyce in the 1980s to win the race three years in a row, while Russia’s Elena Nurgalieva recorded her sixth win. Back-to-back in J-BaySuperstar surfer Jordy Smith’s year was disrupted by injury, but he still finished inside the top 10 of the world rankings despite missing two events, and he went back-to-back in once again winning the prestigious Billabong Pro in Jeffreys Bay. On the very same weekend, Natalie Grandin secured her first WTA Tour doubles title when she and the Czech Republic’s Vladimira Uhlirova won the Hansol Korea Open. After Els came Louis Oosthuizen, the winner of The Open Championship in 2010, who claimed the Africa Open in East London, an event co-sanctioned by the Sunshine and European Tours. IAAF medal winnersSouth African athletes performed well at the IAAF World Championships in Daegu, South Korea. Although they won only four medals, that was enough to place them seventh on the medals table in terms of medals won. Would you like to use this article in your publication or on your website? See: Using SAinfo material Orlando Pirates were the story of the year in South African football, claiming a hat-trick of titles by winning the Absa Premier League, the Nedbank Cup, and the MTN 8. Astonishingly, the club later parted ways with coach Ruud Krol! The 2010/11 season began with long-time star Ernie Els winning the South African Open, but it evolved into the clear-cut announcement of a new generation of South African stars ready to make their mark on the world stage. The men’s 4 by 400 relay team of Shane Victor, Ofentse Mogawane, Willie de Beer, and LJ van Zyl shocked their more fancied opponents by racing to a silver medal in the final. Paralympics star Oscar Pistorius also picked up a silver as he had been part of the South African team that contested the heats. No athlete with a disability had previously won a medal at the IAAF World Championships. Sunette Viljoen captured a bronze medal in the greatest women’s javelin competition in history, recording an African record 68.38 metres. Kevin Anderson won the South African Open in February and made impressive progress up the world rankings during the year, ultimately finishing it in 32nd place, having peaked at 30th in October. World’s best test bowlerIndividually, Dale Steyn ended the year a runaway leader at the top of the test bowling rankings, with Morne Morkel in third place. Jacques Kallis was the leading all-rounder and second in the batting rankings. Hashim Amla was number one in the one-day international batting rankings. South Africa produced another world champion when the Rainbow Nation defeated neighbours Zimbabwe 29-18 in the final of the Polocrosse World Cup to finish the event unbeaten. Jan-Albert Steenkamp was named the best male player of the tournament. Simon’s successAnd it was not only the men that excelled. Ashleigh Simon showed that she has what it takes by capturing her second Ladies European Tour title in May, winning the Portugal Ladies Open by three shots.
Top Reasons to Go With Managed WordPress Hosting When we asked earlier this month “Is a job at a startup right for you?,” we alluded to the importance in having not just the right skills for the job, but the right personality as well. Of course, being a good fit as an employee is important regardless of the company’s age or establishment. But it seems particularly key for startups, where it’s expected everyone share some of the same drive, ferocity and confidence that the founders do – that so-called “startup culture.”There can be strong pressures to simply hire someone – anyone – particularly if your startup is experiencing a rapid growth spurt and desperately needs to bring on more staff. And this pressure can make you feel like the cultural fit isn’t as much a concern as just filling the seat. According to Jonathan Kay, Grasshopper‘s “Ambassador of Buzz,” the founders of the small-business support company say that ignoring the importance of culture while hiring was one of the early mistakes they made. “When we hit our big boom,” says Kay, “we were hiring people left and right and were worried primarily with bringing in the best technical fit for the job.” To help address this, Grasshopper spells out key elements of its company culture and makes sure these values are stressed during the hiring process. Noting that this means much of an interview is devoted to assessing this cultural fit, Kay says that employees need to demonstrate they have these core values, not just the requisite skill set, in order to move forward in the interview process.Arguably, that cultural fit can be seen in a variety of ways. You can ask questions during the interview process. You can, as Mark Suster suggests, schedule one meeting with job candidates take place over food. You can probably hazard a few guesses based on the absence of creativity in a resume (or, I suppose, the presence of Comic Sans). You can look at your potential hires’ past experience with startups, their side projects, and their social media presence in order to gauge whether or not they fit with your culture.Of course, all this assumes you know what your company culture is – not merely the grandiose wording of a mission statement, but the ways in which your team actually works together. Why Tech Companies Need Simpler Terms of Servic… Related Posts A Web Developer’s New Best Friend is the AI Wai… audrey watters Tags:#start#tips 8 Best WordPress Hosting Solutions on the Market
Odisha Chief Minister Naveen Patnaik on Saturday announced ₹100 crore assistance for the infrastructure development of Utkal University here. The CM announced this after inaugurating the five-day platinum celebration of Odisha’s premier varsity here.Naveen Patnaik said improving the quality of education at all levels of the education system is a top priority of his government. He said: “The state government has sanctioned ₹100 crore to Utkal University for opening six centres of excellence.” The chief minister called upon the students to contribute for the growth of Odisha and be a part of this “unprecedented development process”.While paying his tributes to great sons of Odisha, the chief minister recalled the contribution of Maharaja Krushna Chandra Gajapati, Pandit Nilakantha Das and Pandit Godabaris Mishra among others who visualised the capitalisation of the states intellectual resources through this university.“Teachers and students are the principal players in an institution like this. Teaching, learning is an ongoing and evolving process. Management, infrastructure, learning resources and even curriculum are facilitating factors. The outcome of this entire exercise is quality human resource,” he said. The chief minister also inaugurated the Central Instrumentation Centre and Digital Library Building of the university. He also laid the foundation stone for the boundary wall project.