Erectile Dysfunction in Males- Can Aerobic Exercise Solve the Puzzle?

Erectile Dysfunction in Males- Can Aerobic Exercise Solve the Puzzle?

Erectile dysfunction in the simple term means inability to attain or sustain an erection. British society for sexual medicine defines Erectile dysfunction as the persistent inability to attain or maintain are erection sufficient for sexual performance. Erectile dysfunction is also termed as impotence. Male erectile dysfunction in majority of situations is an indication of an underlying disease mainly the changing cardiovascular status and it warrants an immediate medical attention.



Erectile Dysfunction- Social and Family menace

Image credit- Ambros




Health experts at Mayo clinic believes that incidences of erectile dysfunction from time to time is not a matter of concern but if it is an ongoing issue then the role of qualified health professional becomes important. Erectile dysfunction if untreated may create rifts in a person’s personality, attitude, self confidence and relationship with spouse.


Mechanism of Erection

Erection commonly occurs when there is an increased blood flow to the penis and decreased venous flow from the penis. For an increased blood flow the arteries supplying the penis should relax so that blood fills the arteries. So any pathology or disease condition that affects the blood flow to the human body interferes with the blood supply to penis. People with arterial diseases, cardiac diseases, diabetes have greater chances of erectile dysfunction.

Causes of Erectile Dysfunction

Causes for erectile dysfunction can be categorized into two main domains

  1. Physical cause
  2. Psychological cause

Physical causes include disease conditions like atherosclerosis, multiple sclerosis, low testosterone, tobacco use, spinal cord injuries.

Psychological causes are mainly depression, lack of proper communication, diseases affecting mental status.

Treatment Options

Drugs– The 3 fils (Sildenafil,Tadalafil and Vardenafil) These drugs mainly increases the nitric oxide in the body resulting in vasodilatation. This vasodilatation however is not physiological and may be associated with multiple side effects like flushing, nausea and vomiting.

Penis Pump and Implants– Penis pumps mainly works by creating a vacuum pressure that helps in making more blood flow toward the penis. Penis Implants help to control the time of erection.

Lifestyle Modification– Following a healthy life style, quitting alcohol and smoking, exercising regularly can help to solve erectile dysfunction to a greater extent.

Aerobic exercise and Erectile dysfunction- Master of All treatments

Effects of Aerobic exercise on the human body have been well documented by researchers. Exercise is inversely proportional to markers of inflammation in the human body. Aerobic exercise has got protective effects and it enhances the functioning and efficiency of cardiovascular and pulmonary system. However research data is still inconclusive whether exercise can reverse the erectile dysfunction.

Lamina Sikiru and co researchers from Nigeria tried to solve the puzzle. They did a review of past 28 years research done on the effect of aerobic exercise on erectile dysfunction. The results were amazing and it promise hope for millions of people who had literally spend a fortune to see the little leg treating erectile dysfunction.

The researchers found out that aerobic exercise is beneficial in reverting arterial erectile dysfunction in male population and they have listed out the possible mechanism by which arterial erectile dysfunction can be cured by aerobic exercise.


Positive Effects of Aerobic Exercise on Erectile dysfunction

  • Exercise results in changes in biochemical neural and hormonal status that brings a long term vasodilatation or relaxation of blood vessels. A relaxed blood vessel can accommodate more blood in the penis and facilitate better gaseous exchange.
  • Regular exercise reduces the inflammatory markers in the human body there by reducing the chances of penile inflammation.
  • Aerobic exercise increases the endothelial function of the blood vessel of penis. The endothelial walls secrete nitric oxide which is a potent blood vessel dilator. This physiological production of nitric oxide is safe compared to the non physiological and unnatural dilatation caused by blood vessels and free of side effects also.

Even though the studies that have investigated the effects of aerobic exercises on erectile dysfunction are less the results are certainly promising. Physiotherapy has added one more golden feather in the research finding and it warrants the importance of stressing aerobic exercise in patients have restricted blood circulation in their body leading to erectile dysfunction.






Posted in Uncategorized | Tagged , , , | Leave a comment

Error less Learning technique- A Novel Method For People Having Dementia

Dementia or memory loss is a common characteristic of the majority domain of central neural degenerative disease. Among these disease dementias occurring from Alzheimer’s disease require a noteworthy mentioning as loss of cognitive skill is a notable domain of the condition.Even though dementia is commonly associated with the neurologic domain experts at he Mayo Clinic differs in their view. They suggest that dementia as a whole cannot be associated with any disease but it  comes under a group of conditions where affective thinking and social abilities interferes in a patient’s life to such an extent that it interferes significantly with daily functioning.


(Image credit- Digital art at

Many factors contribute to the development of dementias ,among them Alzheimer’s disease is the main reason for progressive cognitive decline. Loss of memory alone cannot be considered as dementia. Medically at least two brain functions should be affected for a person to be categorized under dementia. Most notable is loss of memory and impaired judgement in activities of  day to day life. Dementia is never the end of the road,most of the dementias are curable and some are even reversible.

The risk factors for dementia can be categorized into modifiable and non modifiable risk factors. Risk factors that cannot be altered includes age, family history.down’s  syndrome. Modifiable risk factors, means with diligent care the risk can be reduced to zero includes alcohol consumption, blood pressure, cholesterol, atherosclerosis,high estrogen level, obesity, smoking etc.

Cognitive decline or memory loss has found limited success with medical therapy supportive and caregiver strategies works out most of the times. Breaking up of complex tasks into smaller components,the use of things to do diary all have been tried.

 Maartje MEde Werd, a researcher from Netherland and his coworkers tried to investigate the effect of error less learning in dementia patients. They investigated 26 studies conducted till date on dementia patients mostly those who suffer from Alzheimer’s disease using error less techniques.

The commonly used error less techniques quoted in the literature were broadly based on five categories.

1.No Guessing Technique– In this technique the participants were encouraged not to guess. The participants were given either a choice of right or wrong. The decision has to be made without any pause and the sequence is completed once the participants are able to make a correct response.

2.Stepwise Approach Modelling Technique- The therapist first demonstrates each step of a process and invites the patient to complete the process. Finally the patient is made to do the whole tasks without any prompting.

3.Verbal Instruction Visual Instruction Technique- The technique basically allows the individual to do the activity of his own. The therapist monitors the entire process and in case of an error either visual clue or a verbal instruction are given until the participant completes the task.

4.Vanishing Cues Technique- Here the participant performs a task and during the steps each cue is gradually removed and the person is encouraged to complete the task without the help of the cues .

5.Spaced Retrieval Technique-In the technique participant is asked to recall information with increased time intervals. If the patient hesitates therapist gives a hint. If the patient is unable to remember the interval is reduced and when the patient master the data, the recall intervals are further lengthened.


The study after analyzing the treatment strategies concluded that error less learning techniques when compared to no treatment helps in improved recall and cognitive abilities in individuals with mild to moderate dementia.


Posted in Uncategorized | Tagged , , , , , | Leave a comment

An Apple a day keeps doctor away and much more

An Apple a day keeps doctor away and much more.

Posted in Uncategorized | Tagged , , | Leave a comment

An Apple a day keeps doctor away and much more

An Apple a day keeps doctor away and much more



Image credit- Stock Images

Like the famous saying an apple a day not only keeps doctor but also many diseases away. Apple contains more amounts of phenols than any other fruits. Disease fighting feature of apple is mainly due to the presence of a variety of phytochemicals  which are potent antioxidants. Scientific researches done all over the world have confirmed that consumption of apple reduces risk of a variety of cancers , cardiovascular risk and diabetes.

Benefits of Eating apple.



 Image credit -Stuart Miles


Having at least a serving of apple every day helps in reducing cancer. Compared to other fruits women who consumed apple were found to have reduced risk of lung cancer .The flavonoids present apple was responsible for this protective effect. Catechin present in apple in much superior to tea. It reduces the occurrence of epithelial cancer. Apple consumption reduces the risk for tumors of the stomach and alimentary canal.

Cardiovascular disease

Eating apple reduces the risk of cardiovascular risk to one fourth. Epicatechin and catechin phytochemicals present in apple are responsible for this protective effect. These phytochemicals are most easily bioavailable chemicals in the  human body. Apple consumption also decreases the risk of mortality due to cardiovascular diseases in post menopausal women..

Asthma and Pulmonary function

Apple intake reduces the risk of chronic obstructive pulmonary disease and increases lung function. Flavonoid present in apple reduces the risk of asthma. The harmful effects of smoking on lungs are reduced to a great extent by apple consumption.

Diabetes and Weight loss

Apple supplementation reduces the occurrence of type 2 Diabetes. People who consume at least two apples on a weekly basis were found to have reduced blood sugar levels.



Antioxidant Effect

Apple juice increases the antioxidant activity of the human body compared to normal water. The antioxidant effect is retained in the body for about 90 minutes after consuming it. The oxidation potential of plasma and red blood cells are enhance by the activity of apple juice at a much higher rate compared to other fruit juices. Apple decreases the harmful effects of hydrogen peroxide  a potent free radical which destroys cells of the human body.


Bone strength

Phloridzin a potent flavonoid present in apple peel and apple wood is considered to be a potent bone growth promoter in an  old age population suffering from osteoporosis. Phloridzin increases bone mineral density and enhances the bone turnover.

Brain health and memory

Apple juice controls the excessive decline of neurotransmitter acetylcholine which is responsible for decreased memory and brain function. Apple juice inhibits presenlin-1 a chemical responsible for the formation of amyloid plaques which results in Alzheimer’s disease.


 Credit-Imagery majestic 

Apple is a potent fruit with so many medicinal values. So regular serving not only keeps doctor but also diseases away.



Posted in Uncategorized | Tagged , , , , | Leave a comment

Papaya – The New Ossain Bolt For Diabetic Wound Healing

Diabetes is proving out to be the major beneficiary among lifestyle disease next to Obesity. For any individual suffering from diabetes diabetic wound proves out to be the worst nightmare . Diabetic Wound is one of the toughest among the wounds to heal. Increased infection rate, rapid progression of the infection causing bacteria all pose serious challenges to the health care professionals involved in rehabilitation of diabetic patients.


Image Credit- Master isolated images at

American Diabetic Association observes that diabetic patients have nearly 25 percent chance of developing foot ulcers if proper care is not given. Almost 70 percent of the lower limb amputations performed are mainly due to diabetes. The statistics provided proves that infection control is of paramount importance for improving the functional status and recovery of individual. Adequate infection control can accelerate the rehabilitation and other restoration efforts to maximize the daily independence of the diabetic patient.

A research conducted at Ohio State University  on mice models with induced diabetic wounds  suggests that Papaya the most neglected fruit among the plant kingdom can enhance the wound healing in diabetes. Although the research was carried among experimentally induced obese diabetic rats, if the results can be replicated to human models it provides hope to diabetic population who are jeopardized on health due to infective wound status.

Papaya is commonly called as Carica Papaya to scientific world has been potent healing fruit for a multitude of diseases. The role of Papaya to increase platelet counts ,prevent constipation,fight against dengue has been well documented. Wound healing properties of papaya are not well known. Papaya forms an important constituent among the very few fruits that a diabetic patient can consume. Based on these facts the researchers tried to find out whether papaya on external application can enhance wound healing in diabetic patients.

Researchers took an extract of fermented papaya and applied that over the experimentally induced wound of obese diabetic rats. They observed that fermented papaya has an important chemical substance called papain which has excellent wound healing properties. The scientific mechanism behind the study was also put into the analysis.

Possible Scientific Mechanism Of  Wound Healing By Papaya In Diabetic Wounds

1.Decreased Total Cholesterol And Low Density Lipoproteins-  After eight weeks of application of fermented papaya researches noticed that the levels of cholesterol and low density lipoproteins were considerably less when compared to diabetic rats that received no external wound application.

2.Increased dorsal Thickness of Skin- Papaya fermented application helps to increase the dorsal thickness of the healing skin and to accelerate the newly formed  skin growth by increasing blood supply to them.

3.Improved Nitric Oxide Production- Diabetes is a disease that is mainly characterized by the  decreased nitric oxide production. Nitric oxide enhances the activity of macrophages ,the specialized organisms that eats the waste products found after wound  healing .Papaya helps in increasing the amount of nitric oxide present  in diabetic ulcer wounds.

4.Increased Oxidant Generation- Papaya helps in increasing oxygen content . Macrophages are able to produce more oxygen which in turn helps in faster wound healing.

So to fight against diabetes we have to select a medium that’s fast in action and easily available. Papaya has  truly proven to be the Ossain Bolt among fruits as of now. Till the next person proves it wrong, Papaya is the fastest wound healer among fruits.



Posted in Uncategorized | Tagged , , , , , | 1 Comment

Can’t Live Without Soft Drinks? Make Osteoarthritis Your Life Partner

The amazing popup up sound when the soda bottle is uncapped is often luring. When those bubbles emerge and makes a frizzling sound , the prickly feeling you get when your tongue gets bathed in the sugary fluid is often inviting sign for teenagers. Advertisement, status quo, peer pressure and style quotient often interfere between our choice of health and matter of pleasure. Why all of us love soft drinks ?, an exact solution to this question is definitely tricky. Research has proved that your most famous soft drink brand can be used as a worm killer in the toilet,it can dissolve the most strongest enamel of teeth in a matter of weeks.

Are you a frequent soft drink lover starting to notice severe knee pain and wondering why,Scientific findings has a nasty surprise for you. Frequent soft drink consumption puts you at an early risk of osteoarthritis and it accelerates the rate of bone loss at twice the rate than in a normal individual. In probably a study first of its kind researchers have tried to find out the association between osteoarthritis and carbonated beverages, soft drink consumption.

It is a known fact that soft drinks don’t have much of  the nutritional value. It adds on to the empty calorie . Sweetened aerated drinks increases the sugar content of the blood,it results in weight gain and may put you at risk of diabetes,stomach ulcer and cardiovascular diseases if consumed in a frequent manner for a long duration. Excessive weight gain is an important predisposing factor for osteoarthritis. The point that needs to be emphasized is that there are risk factors of osteoporosis that we can modify like our dietary habits and soft drink consumption comes exactly under that domain.



Image Credit-

Bing Lu a researcher from Harvard Medical School and his associates wanted to establish whether soft drink consumption affected the progression or development of healthy adults. The data were taken from the Osteoarthritis initiative of National Institute Of Health. They screened 2149 healthy individuals show showed x-ray findings of degeneration in the knee joint, having a consistent history of soft drink consumption. The individuals were screened for progression of degenerative changes in the x-ray  for 4 years . They have found out that soft drink consumption is associated with increased degenerative changes in the knee joint for men but not I women where the hormone estrogen has a protective influence on bone health. In non obese men also a stronger relationship was observed between soft drink consumption and osteoarthritis of the knee.

Web MD points out  that at least one in 100 patients have a history of Osteoarthritis radiographically. William .A  Mcgarey,M.D suggests that arthritic individuals should avoid carbonated soft drinks at any cause. But the question is can you still resist that bubbly sound when your friend pops one in front of you, occasionally one in a week may be considered safe, although we don’t have any research to cement this view , the adverse effect were noted among people who consume at least two aerated drinks per day. The take home message is Say yes to painless knee and no to cola.

Posted in Uncategorized | Tagged , , , , | Leave a comment

Hippo Therapy- A Ray Of Hope For Brain Injury Patients

Hippo Therapy- A Ray Of Hope For Brain Injury Patients

Hippotherapy commonly called as Horse therapy is making news in the neurological diseases domain. Hippotherapy utilizes the movement of horse as a form of treatment. Cerebral palsy is the commonest disease which has got widespread admirers for horse therapy or Hippotherapy. Based on that note of success researchers have tried to replicate the success model to other neurological diseases. Recent researches done on brain injury patients gives substantial evidence that Hippotherapy can improve walking pattern,balance and trunk control which are major determinants for success in the rehabilitation program.




Image courtesy-  Victor habbick

Why researchers are fascinated with Horse?. The answer is that Horse is the animal that closely mimics the human walking pattern or gait pattern. When a person sits on the saddle the vibrations are directly felt in the human pelvis when the horse walks, in a normal human being when he walks the pressure is transmitted from his lower extremities to the pelvis. As the person keeps his left leg forward the left side pelvis rotates toward the front direction or anteriorly and right side pelvis rotates in the direction backwards or posteriorly. Similarly when the horse walks same movements takes place for its pelvis. In Hippotherapy when the horse places its left pair limb forward the human who is riding the horse can feel his left pelvis moving forward and the right pelvis moving backwards thus mimicking his normal walking pattern. Hippotherapy simulates normal Three dimensional movement patter and trunk stability in humans.

Barbara Hein P.T is of the opinion that Hippotherapy should be carried out by a qualified physiotherapist or occupational therapist who has proper knowledge regrading the body systems and client’s problem. She says that Hippotherapy that is followed today takesthe root of  the Calssic German model which relies on the horses classic movement patterns for the client’s response. Hippotherapy commonly works out on the patients vestibular system present in the ear, touch sensation,muscle motor response and higher cognitive function.The  American Hippotherapy association suggests that horse riding simulates neuro physiological systems of the human body that helps in functional activities of daily life.

Hyunk Sunwoo and Co researchers checked whether a  horse therapy is of any use for the head injury patients. The research findings were  noted down  for eight Head injury patients. The sessions were continued twice a week for eight consecutive weeks. A single session timed around 30 minutes. The riders were guided  into different patterns like crawling kneeling and standing positions.Researchers noticed a significant improvement in balance and gait speed in  patients who underwent  Hippotherapy. Hippotherapy was found to be beneficial in improving balance ability and gait speed in patients with chronic brain disorders.

Although Hippotherapy has got beneficial effect it should be noted that it works best when combined with the traditional treatment strategies or rehabilitation techniques rather than given individually as sole treatment technique. The Research team  suggests that further studies are needed to cement the findings. As of now scientific research findings suggest that Hippotherapy is an effective combination with traditional rehabilitation program to speed up recovery in brain injury patients.

Posted in Uncategorized | Tagged , , , | 2 Comments