The Mail on Sunday

Do I really need a dry January?

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I AM a 52-year-old man who drinks a couple of times each week, though not excessivel­y. My GP says I have slightly high blood pressure and I am a little overweight. Will ‘dry January’ make me healthier? THE short answer is yes. Even for someone drinking less than the maximum 14 units a week (about seven medium glasses of wine), avoiding alcohol for a month is likely to reap some tangible health outcomes.

Firstly, it will kick-start some New Year weight loss. Cutting down alcohol reduces calorie intake, as long as units are not replaced with sugary alternativ­es. A couple of pints of beer amounts to 364 calories – more than the average fast-food burger.

Not only does alcohol lead to increased blood pressure due to the resulting weight gain, but a high level of alcohol consumptio­n in the long term increases blood pressure independen­tly of weight.

A further reason for anyone to trial a month of abstinence is to explore their psychologi­cal relationsh­ip with alcohol and improve mental health.

Even in those not exceeding the weekly alcohol units limit, it is valuable to test and review that and reduce the chances of any growing dependency.

Dry January can be a useful wake-up call, often when people don’t realise they need one. HAVING suffered from knee pain for a month, I was recently diagnosed with a ‘possible’ cartilage tear – a part of the joint called the medial meniscus – but was advised that surgery would not be of any benefit. The thing is, I’m still uncomforta­ble. I have heard of alternativ­e therapy called prolothera­py, which entails injections into the area. Could this work? PROLOTHERA­PY involves injections of a solution of chemicals, commonly sugars and local anaestheti­c, designed to cause mild irritation inside the joint, triggering the healing process. It has been used in orthopaedi­c problems but trials haven’t produced convincing results. The meniscus is not a ligament, but a tough cartilage of the knee that acts as the shock absorber. Small meniscal tears may indeed heal by themselves and if the pain settles, treatment is not required. A tear may be considered for surgical repair if symptoms persist, although surgery is not beneficial for all.

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