LIFE COACH Our ex­perts an­swer your ques­tions


The Sunday Telegraph - Sunday - - Lifestyle -

An in­ter­est­ing aside, from an ex­er­cis­ing per­spec­tive, is the dif­fer­ence be­tween sports drinks and en­ergy drinks. It is a spe­cific and im­por­tant dif­fer­ence. En­ergy drinks con­tain stim­u­lants, pri­mar­ily caf­feine and sugar, which give a tem­po­rary boost to per­for­mance. If these are be­ing used by ath­letes, then they can be taken prior to phys­i­cal ac­tiv­i­ties but never dur­ing the ac­tiv­ity. Sports drinks, on the other hand, are de­signed to be taken by ath­letes dur­ing the ac­tiv­ity it­self. I am 40 years old, and have re­cently been di­ag­nosed with os­teoarthri­tis. My symp­toms are man­age­able but I am fear­ful for the fu­ture. My grand­mother was crip­pled with arthri­tis from a young age and bedrid­den much of her life. Cather­ine Mum­ford It is un­der­stand­able that you should have con­cerns about the fu­ture, hav­ing seen your grand­mother’s ex­am­ple, but there are many rea­sons why the prospects for any­one with arthri­tis of any type are now so much bet­ter. A gen­eral point is that OA does not in­evitably get worse – of­ten it reaches a cer­tain point and goes no fur­ther. Un­for­tu­nately, new drugs to halt its progress have not yet ar­rived but we now have a bet­ter un­der­stand­ing of the over­all man­age­ment of arthri­tis that can and does achieve good re­sults. Ef­fec­tive and ap­pro­pri­ate use of painkillers, proper ex­er­cise and pos­ture ad­vice at home and work, healthy eat­ing, good-qual­ity in­for­ma­tion on the dif­fer­ent types of arthri­tis and the shar­ing of in­for­ma­tion with oth­ers who have the same ex­pe­ri­ences are in­creas­ingly be­ing brought to­gether un­der the um­brella of self­man­age­ment plans for arthri­tis. Find out more at arthri­tis­care.­ing­with­arthri­tis/self­man­age­ment. If your cur­rent symp­toms are in­deed the start of a more gen­er­alised pat­tern of OA, then it would be worth ask­ing your GP if you should see a rheuma­tol­o­gist to con­firm the type of arthri­tis and get more spe­cialised ad­vice. I asked my den­tist about my con­stant mouth ul­cers, and she ad­vised that the lin­ing of my mouth was thin­ning as I aged (I am 72). Con­se­quently, I tried a milder, herbal tooth­paste and my mouth is very much im­proved. Judy Per­ry­man, by email

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