kristie but it's if my husband went to peru because of the crisis. if he hadn't gone there we would have died of hunger. that someone wanted down. just this week to go. to be in good shape here's what's coming up. raul veganism is going without cook food healthy. spider veins how to get rid of the unsightly blood vessels. also back pain and how best to treat it. and here's your host dr constantly out many of my patients don't feel well and they come to

see me in my practice that i treat them and then they're in good shape but it's not always so simple sometimes it's really difficult like in chronic boggo which is lower back pain and this is why i'm getting some help today from a specialist from doctors and i'm looking to meal here with him welcome to in good shape. for many years doctors get saying that if you have back pain you have to rest and avoid exercise but right now we know that that is wrong and if you want to know why we are telling you right now. in different parts of the world doctors treat back pain differently take south africa for instance doctors in just prescribe pain

killers in india they suggest better rest and then there is something like gains. pills and physiotherapy but what does really help. christoper meyer has always stayed active going jogging playing tennis going to the gym but right now he's limited to swimming and stand up paddle boarding due to back problems. looking back there were personal issues it threw me off track i always tended to compensate for that with lots of exercise and work. the combination of stress and pushing himself too hard took its toll on his back. and just not worth the pain is like sticking your finger in a power socket it's a pulsating pain that always shoots down my left side right down to my toes. he was unable to work for 8 weeks his orthopedist prescribed painkillers injections

and physio therapy but nothing helped. eventually he was referred to. a neurosurgeon he's been in treatment here for several weeks now. come i'll. come as a. result of getting. he's doing better but he still has some pain together they look at a scan of his spine so you. will see if there's. some minor slip disc you can see this is where the disc begins to bulge and presses on the nerve. you get to work one that's interfering with the function of the nerve and as a result the muscles here are growing weaker. normally that would mean surgery. of a large with this base case the position of this little disc makes surgery tricky.

for me. it would mean damaging structures that are important for the long term stability of the spine and perhaps result in instability eventually. to prevent that and we'll try a more conservative approach. to work with some. one option that doesn't involve surgery is perry ridiculous therapy or p.r.t. this is chris doc myers 5th session p.r.t. involves an injection with a combination of different drugs guided by x. rays they will be administered directly to the root of the compressed nerve. the goal is to support its regeneration. is. ridiculous therapy help support the natural healing process nature's response to a slipped disc is to try to dry it out. the question is how long can the nerve tolerate the compression of what the p.r.t.

does is accelerate that drying out process so that the nerve can recover more quickly and doesn't suffer any permanent damage. up to 85 percent of patients are p. to obtain some benefit from p.r.t. christophe meyer even though he was skeptical at 1st. i did have my doubts i'd already been through a lot and you reach a point where you basically give up hope. along with the medical help dr rahm's brother provided me with a lot of emotional support and all those factors combined to help. those who know where to find. the p.r.t. therapy helped but christoph maya is also doing his bit going to physiotherapy and getting plenty of exercise. and gives looked at the me or he's a doctor for sports medicine and the head of the department for health and fitness at the sports medical center in berlin thanks for having me today when i see patients with normal big pain they often ask me think head and get some x.

ray or an m.r.i. scan but and when do they have to do an m.r.i. scan is a doctor in most of the cases it's not necessarily cause lower back pain is limited and last for only a couple of place it can be severe but in most of the cases it lasts just for a short time but if it does not receipt after a some days or repeated after a certain time or if the doctor suspects structural change in this case is indicated to carry on for their examinations for example with. x. rays i have so many patients problems in the lower back is the problem that mother nature just messed up. really not but right now we are observing that about 80 percent of the patients reporting back pain have some kind of mental or social stress and that means that this the sort of this excess of tension is reparable on the back but most of the patients also present with pain because they

do not exercise have a trolley they do not use their muscles so what kind of behavior or absence of behavior cause lower back pain. it is important to understand one principle or 3 indeed if you use it it grows if you don't use it you waste it and if you all or use it you can break it and it does apply to every function and every organ in your body if you use your muscles they are going to develop and to be stronger and larger if you do not use them you are going to waste them and if you all are used then you can develop pain due to an injury or 2 broken the show many of my patients do have to sit because they are working in a sitting position are they doing something wrong they do not have to see they decide to see it for example you can stand up every 5 or 10 minutes and walk around

the table you are not forced to see it the whole time and meanwhile there are other means to see for example you can use a ball a huge ball and sit on it and your stent in continuously trying to compounds the movement and to find your center since it is abusively that you are extremely active you can also be tired after one hour because you are moving so much if you don't if you are always in this position your muscles are we sure are going to be shorter this group of muscles and the muscles on your back are going to be weaker that means that you walk around and everybody's going to observe that you have this position but some of my patients even have an active lifestyle and the physical work and they still do have back pain. they can be forgetting the thought principle if you over use it or if you use it in a wrong way you're going to break it and people understand that you can apply to

your credit card by they do not understand that it can apply to your body so spartan exercise is good for our back it's very important for back but some of my patients who are very active and really exercising are a lot still have problems in their lower back if you exercise too much you can do there are problems because the body is not prepared to that you have to build up and you need to start on time if you exaggerate the movement that intensity the frequency the weight that you are working with you are going to develop problems so sports is good exercise is good and it's really not it is in the spends of all it's indispensable and it really helps if you do have lower back pain and that that's how effective is it compared to painkillers and to massage is. cut is $37.00 and has always been plenty of exercise a year and a half ago she was struck with pain since then she's been through various treatments to no avail. as this wouldn't it i had

an m.r.i. done amend physical therapy which included my sergeant acupuncture i also saw an osteopath i did everything i could but in the end i was prescribed a painkiller ibuprofen. phenols. ibuprofen is generally safe but can have side effects some of them serious like kidney damage painkillers are not a good permanent solution something had to change cut think they should began a 4 week outpatient therapy. none of the therapies i tried worked so this really was my last hope. let's just. first her doctors wanted to make sure nothing. more serious had been overlooked a slipped disc for example or an irritation at the root of the nerve. and inflammation in the vertebral joint or even a tumor. the m.r.i.

scan was inconclusive it did show something but nothing that could explain the severe pain she was feeling. it's not serious your spine looks fine for your age this bright spot inside one of the bones is cold and. can sometimes cause pain. began working with physiotherapists. that also included lifting heavy objects something that most back patients prefer to avoid. but cutting has to learn how to undo the pain response instead of squatting to protect her back she's supposed to bend over to put the crate down. no way you hurts too much. the patients take part in a comprehensive workout program 5 hours a day preferably without pain killers. the exercises include threading

a rope through the strings while bending forward 2 weeks into the program. pain is becoming unbearable. physiotherapists don't provide standard treatments where they manipulate the patient. patients have already tried that and it didn't help instead we give them tasks they carry out on their own the 4 week program involves more than just strength training and exercise. in many cases chronic back pain is accompanied by to oppression and disorders the program also includes regular sessions with the psychologist to address mental issues and how to cope with the pain. along with strengthening her back has also learned a lot about herself in these 4 weeks. i've learned that changing my behavior can make a difference things like exercise but also cultural activities and other distractions they can also help bring me some relief from the pain i've also learned to take

more time for myself wow that's really important this is cancer. today katlin cliche no longer has back pain she's even started jogging again which does wonders for both body and soul. so let's summarize what we just learned of this report no physiotherapy no massages and no rest and this is why i'm sitting on this ball and it's even fun it is fun what we try to do is to integrate physical activity in your daily routine because if you decide to exercise and do workout in the gym 2 or 3 times a week for 30 or 45 minutes with different machines but easier is if you decide to exercise they for example in doing the walk you are sitting on a chair on your moving not at all the whole walk is done by the chair but if you're

sitting on a board you're bouncing continuously you're using your body to compensate the fine and it leaves and you can also in taste insulate it just using before please let the water roll. move the ball and you have to lie on your knees so on lives on your knees and on you have your answer right and at least stretch your right leg and your left arm and you look down world and just stay in this position for 5 or 6 seconds and then switch the sight. and again in this position for 5 or 6 seconds. so i don't have any lower back pain to start with but what if my patients say that this exercise hurts this

exercise does not go into work if you do not have an injury or some kind of problem and it is the idea it is an exercise everybody can do if you have pain the one who decides which exercises to carry on which exercises to avoid what to do exactly is your doctor or your field therapist and you can repeat that 101520 times 30 times with the time you are going to improve your ability and increase your strength and it is going to be easier for you i can even do this at work that is the idea you can do it at home at work everywhere and anything else like you yes please lie on the floor of that easy this time right on your elbows and just rice your body you just stand like this yes that is rope planking on your toes and also on your elbows it's

quite exhausting actually stay there for 15 or 20 seconds at the beginning shorter maybe 5 or 10 seconds until you learn the sexercise and down and relax quite exultant again it is hard if it's too hard for you what you can do is on your knees not on your hose lip and legs and with your back like a cat and you upwards and downwards and up and down not that fast slower you just feel the tension and down. and even roll work so how often to have to do that just start believing that many people ask how often what should i do in between and they are not exercising at all they are just they just want

a program just stop moving move yourself more use the stairs walk a lot and you're going to improve your ability or want to feel all so much better so thanks so much for answer all my questions you are very welcome and i'll stop right away the exercise and if you have any questions be sure to write me an email . in good shape your weekly health show on d w that covers many aspects of health care we look at what's new in medical treatment nutrition fitness and beauty we discuss these topics and depth with specialists and offer you opportunities to pose your own questions so get in touch . the problem we portrayed on next report affects famo women than men i'm talking about weak veins and they are not always a medical problem like in spite of their more like a cosmetic problem but fortunately there is help. yana shown here does everything

she should be doing she stays active and walks are 2 dogs regularly but at $34.00 she already has spider veins which she tends to keep hidden under long pants. as i just don't. bother me a lot in the summertime because everyone can see them and they're very dark blue or purple. they're very noticeable on my fair skin. these are the unsightly spider veins and large capello aris usually caused by poor circulation and muscle tone the condition may be hereditary yanna started getting them in her early twenties. yanis decided to take matters into her own hands she has an appointment with a vein specialist tomas. well lou. an initial checkup reveals that she doesn't have varicose veins. to be the muslims in

spite of ames a medically harmless but they can be an indication a virus has veins that would have to be treated. and beyond even for so that's why it's important to start with a proper diagnosis. in a procedure called scleral therapy the blood vessels are closed off with the help of a special foam a solution of the active agent is mixed with air and injected into the network of enlarged to pillory. the advantage of the foam there's a did expels the blood from the vein much better. by foaming the agent i can empty the vein allowing the solution to work much more effectively. with the medication attacks the inner wall of the vein destroying the blood vessel and making the spider veins vanish. as well and good

in you do you feel a brief jab but otherwise you don't notice anything i thought it would be worst that. apart from square 0 therapy spider veins can also be removed using laser treatment that's the option to call shoal chose she's already had varicose vein successfully treated by laser specialist tons question benson her spider brains are relatively small making her a good candidate for laser treatment. for the person and he just stands vantage for the patient is that it's a good way to close up very thin compare the recent ones that are so tiny that it's hard to access them with a needle. while. the laser light acts on the tiny red cup hilary's beneath the skin the spider veins trade and disappear the damaged tissue is reabsorbed within 4 to 6 weeks laser therapy is gentle and also works for a very small spider veins square all therapy with foam usually takes somewhat

longer and while both treatments are effective if you're predisposed to spider veins others could appear in the future. in the kitchen we cook we boy we grew food but not in every kitchen chefs don't produce anything especially if they are. they believe that heating up the food destroys vitamins and minerals but more than a truce and scientists do. just going to see a doctor who specializes in sports medicine. see man has spent years studying athletes and nutrition. is patients today as a diet that consists almost exclusively of rule fruit and vegetables. and engine for talking with most people find that kind of diet doesn't agree with them. for one thing they cannot beat their energy needs and for another they get

a lot of problems with bloating. many people also have intolerance and start getting diarrhea when people don't get enough of important nutrients you'll eventually see that in the person's blood count it affects the formation of new blood cells leading to fatigue and a drop in performance before they get off on. the doctor 1st. through his paces. tests and blood samples provide information on his heart and or asperity system. dr simoni evaluates the results and what does he think. s. my fate all of us and if and 1st of all it's clear he has a good body composition and doesn't look like he's suffering from any kind of deficiency. and that's despite engaging in extreme sports as well as having this extreme diet. so where does his body get the minerals and vitamins it needs given

neither me nor dairy products. he's been on this diet since 2006 what's the secret of his success. this is kind of nothing is heated so that means the food retains all its vitamins this contains iodine and vitamin c. in the form of the lemon juice there's also linseed oil which has omega 3 fatty acids all of these foods are part of a typical vegetarian diet. but arnold's a vegan so that means eggs and dairy products are up to sleeping fruits and vegetables moreover food is cooked anything so that eliminates all the foods that aren't palatable when their own cooked grow potatoes and old machines contain soul which is difficult to digest. contain lecterns which can cause nausea and vomiting. so they're not good either. just leaves nuts vegetable oils

and pulses to provide the body with the nutrients it needs. food and a vegan is difficult you really have to know what you're doing and then stick to a very very strict diet. you cannot say i don't like algae so i'm not eating that because algae contains nutrients your body needs. guns last. year and a half ago since then he's continued to train regularly but less intensively he puts his impressive fitness down to his diet the doctor believes there's another reason. surprises me is that your fat metabolism is very very good and it's not just good for someone who runs 100 kilometers or does a triathlon it's remarkable. so when you're pushing the limit in endure and sports

your fat metabolism is still at nearly 80 percent so it takes a long time before you draw on your carbohydrate reserves. but donald weakens fuckwit trouble is and has always been unusually good even before you switched to a role food diet. the medical exam shows he has no nutritional deficiencies. so could this kind of diet be an option for everyone. you couldn't just go from 0 to 100 percent raw food even specialists tend to incorporate some cooked food in their diet which is important for fish fish went. there are also some tricks like puree and fruit to make them easier to digest. after 10 years of eating only real fruit and vegetables on old reagan has now also added a small amount of cooked food to his diet. that's it for today next week. google

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is deja vu news live from berlin china takes drastic steps to curb a deadly viral outbreak work starts on a hospital to house people infected with the new virus authorities about to have a ready in just 6 days more than $48000000.00 people are under lockdown in hopes of containing the spread of the virus also coming out german chancellor angela merkel is in istanbul for what are likely to be tense talks.