Statins Eddie O’ Grady Elevated low-density lipoprotein-cholesterol (LDL-C) has long been established as a major cause of coronary heart disease(CHD). The group of cholesterol-lowering drugs known as statins are widely used in the management of atherosclerotic disease processes that include CHD, myocardial infarction, stroke, and peripheral vascular disease(Pastemak et al. 2002). Although these drugs have been very successful in managing the cardiovascular health of many patients, they also can have some potential adverse side effects . These include muscle pain, inflammation, cramps and/ or weakness in areas such as the shoulder, neck, back, abdomen, hip, lower limbs, biceps brachii and masseter muscles etc. (Bennet et al. 2003). If left unchecked these symptoms may progress on to more serious conditions (Thompson et al. 2003). When detected early however, statin-related symptoms are reversible after withdrawal of the statin(Sinzinger et al. 2002). It is thus important for both physical therapists and physiotherapists to be aware of these associated symptoms linked to statin usage, because they frequently screen patients with musculoskeletal complaints. It becomes even more relevant when a patient presents with muscle pain, tenderness, weakness or inflammation that cannot be explained (for example, pain that is not due to physical work or injury). Your doctor can carry out a blood test to measure a substance in your blood called creatine kinase (CK), which is released into the blood when your muscles are inflamed or damaged. If the level of CK in your blood is more than five times the normal level, your doctor may advise you to stop taking the statin. Regular exercise can also sometimes lead to a rise in CK, so tell your doctor if you have been exercising a lot. Once your CK levels have returned to normal, your doctor may suggest you start taking the statin again, but at a lower dose. It is important to note that a healthy diet and exercise can often reduce your LDL cholesterol to within the normal range without the need for medication. This is best done with the aid of a qualified dietician, backed up by follow up blood testing and advice from your doctor. References Bennett W.E., Drake A.J., Shakir K.M. Reversible myopathy after statin therapy in patients with normal creatine kinase levels. Ann Intern Med.2003;138:436–437. Pasternak R.C., Smith S.C., Bairey-Merz C.N., et al. ACC/AHA/NHLBI clinical advisory on the use and safety of statins. Circulation, 2002 ;106:1024– 1028. Sinzinger H., Wolfram R., Peskar B.A. Muscular side effects of statins. J Cardiovasc Pharmacol. 2002 ; 40:163–171. Thompson P.D., Clarkson P., Karas R.H. Statin-associated myopathy. JAMA,2003 ;289:1681–1690. Eddie O Grady is a degree qualified physical therapist specialising in the treatment of back pain, neck pain and sports injuries. He is covered by all major health insurers and holds clinics in Tralee, Dingle and Killarney.
Women’s International Café, Dingle
Social Night-out On
International Women’s Day Venue: Adam’s Bar in Dingle Date: Saturday 7th March Time: from 8.30pm
Music and finger food All welcome, Free to all If you’re planning to attend please contact 0877162952
Paráid Lá le Pádraig i mBaile Na nGall Beidh an chéad pharáid riamh Lá le Pádraig i mBaile na nGall i mbliana agus spiorad agus cultúr na muintire le seoladh againn thar na farraige móire siar go dtí ár sliocht féin i gCathracha na Stáit Aontaithe, Springfield, Bostún agus Nua-Eabharach. Cuirfidh Captaen na Paráide fáilte roimh leanaí an cheantair agus éinne eile gur mian leo a bheith linn le tráthnóna cleachtan a bheith againn i measc ár muintire féin ag Oifig an Phoist ar a 4.00. Beidh fíor chaoin fáilte roimh Ceoltóirí, Amhránaithe, Feirmeoirí, Iascairí agus éinne gur mian leo bheith linn don ócáid stairiúil seo i mBaile na nGall. Tosnóidh an paráid ar 4.30 i.n. agus leanfar an turas go pointe Bhaile na nGall agus thar nais go ceann a Ché.Beidh fáilte roimh gach éinne go dtí na tithe tábhairne ansan mar a mbeidh tráthnóna cleachtan agus caidrimh againn le Lá le Pádraig a cheiliúradh i measc na muintire mar is cóir. Breis eolais le fail o Tigh TP 0872460507 no Tigh Uí Bheaglaoích 0669155123
Ballydavid To Host Its First Ever St Patricks Day Parade Hosting its first ever St Patricks Day Parade Ballydavid, is set to arise and take its rightful place among “The Nations of the Earth” The currents of music, language and culture may well echo across the Atlantic ocean adding a romantic and nostalgic prequel to the parades of our neighbours in Springfield, Boston and New York. The grand Marshal and a small team of volunteer will greet the school children outside the Post office at 4.00pm / Ballydavid will be happy to welcome musicians, Dancers, Prancers, Prancers, Clowns and actors. Medicemen, Horsemen, Dicemen, Spudmen and Fishermen! The parade will proceed to Ballydavid Point and return to the Pier. Please come and Join us in Ballydavid on Tues 17th March. all are welcome, Further information from Tigh T.P 087 2460507, Tigh Uí Beaglaoich 066 91 55123 N.B Dress: Formal, Informal, Fancy or Vintage, optional
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