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Most of us have heard the term “tendonitis” usually when it comes to conditions like tennis elbow, swimmer’s shoulder, or one of the many other overuse injuries we can develop. When we develop an overload injury, our instinct for recovery is usually calm and ice. However, as we now realize, resistance training is the best treatment. This is because most of what we casually refer to as tendonitis is more accurately described as tendinopathy. The difference is not just a matter of semantics; It is also a question of which treatments are most effective.

There has been a paradigm shift in what we know about the cause of tendon pain and the best way to treat it in the past 10-15 years. Given how recently this shift occurred, there is still a lot of confusion surrounding the terminology and what is really happening to your tendon.

“As a medical community, we’ve really shifted the scope of what we think is going on, which has resulted in a naming convention change that is confusing to everyone,” said Jennifer Zellers, a faculty member at Washington University in St. Louis, whose research focuses on tendons. Given how young this shift was, the term tendonitis is still used in relation to overuse injuries, but this is no longer correct.

What causes tendon pain?

Real tendinitis, i.e. tendinitis, is less common than previously thought. In contrast, tendinopathy is a general term that refers to pain in the tendon. In addition to tendinitis, this also includes other causes, including degeneration of the tendon.

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In recent years, scientists have found out that this pain can be traced back to an incipient degeneration of the tendon in the case of overuse injuries such as tennis elbow or swimmer’s shoulder. With tendon degeneration, a tendon develops small tears or the collagen fibers become disorganized. With appropriate treatment, the tendon has a limited ability to heal.

“There isn’t a really strong inflammatory response in the tendon,” Zellers said. “What happens is more of a tendon degeneration. The feathery proteins that make up the tendon become quite disorganized, along with some other changes in tendon composition. But it is not flammable. ”

Treatment options for tendon pain

The discovery that tendon pain is often due to degeneration rather than inflammation has shifted treatment options. Previously, the prescribed treatment for overuse injuries was rest and the use of anti-inflammatory drugs such as ibuprofen. While this will reduce the pain, it doesn’t really address the cause of what is going on.

“One of the treatments with the best evidence is gradually increasing the load on a tendon,” Zellers said. “It’s much more about changing a person’s activity than completely resting, and it’s much more about putting ever higher loads on the tendon, but in such a way that the tendon can adapt and respond and prepare for higher loads is.”

This treatment is often under the guidance of a physical therapist, who can provide advice on exercise, number of repetitions, and weight. As Zellers notes, however, progressive tendon loading can be achieved without the use of special equipment. Instead, one person would need weights the most.

“If someone is really comfortable with self-management and self-progress, this should be something that someone can manage on their own without having to go to a physiotherapist for long,” said Zeller.

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I am currently sitting in the dining room of my friend’s Red Hook apartment, at a stately and beautiful walnut table tainted with the insignia of my “productivity”; Laptop, papers, books I probably won’t read, broken but still working headphones, crumpled receipts, and a large, partially used paper towel cover – not even torn at the perforated seam – that I refuse to throw away if I get it need. My hair has the distinctive hairstyle of the unwashed and tousled. I’m wearing a long-sleeved New York Knicks shirt that my friend lent me because the weather has cooled down a bit, and of course, despite the oversized Herschel monster I brought with me on my trip, I managed not to pack as usual of the weather to change. It’s a special edition shirt, he tells me. I nod silently. I have no idea about sports. I thought he was a Mets fan.

Me and this plastic flamingo on the other side of the table have been staring at each other for 10 minutes. The stray viewer may notice that the rigid, dust-covered eye of the lifeless bird seems to convey a more serious expression than the living, breathing object of its gaze. The flamingo doesn’t have a name (which I know), but it sits enthroned and leans arbitrarily in a spacious planter that is home to a large and cheerful Spathiphyllum named George.

George has been around for quite a while and has seen some shit. Moving from Carroll Gardens to Red Hook thirteen years ago; Hurricane sandy; the neighbor next door who forgot to water them while my friend was gone for three weeks in the middle of summer. Last night, while Ida was raging her devastating and terrifying tirade over New York, George and the flamingo appeared stunned; their existence unchanged. I could take a page from your book. Meanwhile the sun is shining, the sky is blue (the weather and its habit of changing), a car was just passing by with speaker subs working overtime; perhaps another cue for me worth taking.

But although I, too, had the absurd luck of being largely left alone by Ida, I am not as imperturbable as my table colleagues or as relaxing as outside. Today I have a hangover and the fog is thick.

A mist cutter? How about a fog dweller.

I’m sure most of you have heard of the Fog Cutter: a tiki cocktail invented by Trader Vic around World War II that features cream sherry on an unyielding blend of citrus juice, orgeat, and three different liquors (usually white Rum) swims, schnapps and gin). But it would be rude and insincere (and exceed the allotted ingredients for this column) for me to feign any ability to penetrate any type of fog. The blind lead the blind and everything.

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So here’s another drink instead. Let’s call it the fog dweller. I haven’t had access to a decent, aged agricole rhum in two years, so I intend to keep using it while I can. The same goes for the beautiful crushed ice made of pebbles that the bar next door is so gracious to me. My Red Hook host also owns one of my favorite tiki cups, a set lava cup that he can’t persuade to sell me but that I am allowed to use while I’m here. A drink made up of little things that make me feel a little better.

Try it out if you want:

• 1 ounce lime juice
• ½ ounce Giffards apricot liquor (I have to insist you use Giffards as it is delicious)
• ¼ ounce cane syrup (or plain)
• 2 ounces of aged Agricole Rhum (I won’t insist, but I highly recommend Rhum JM)
• Nutmeg for grating.

Put all the ingredients (except the nutmeg) in a tumbler and swirl well to work the ingredients. Fill a tiki mug (or whatever, work what you have) with crushed or broken ice and sift in a quarter of the liquid mixture, then press the ice into place with the bottom of the mug. (The liquid melts the ice a little and creates more space in the glass so you can get the maximum capacity for crushed ice.)

Add more ice and strain the rest of the liquid into the glass filled with ice. Top up with more ice and then dust generously with freshly grated nutmeg. Make it snow – or fog – it will add some drama to the presentation, but it will also help solidify the flavor.

Highlighting rampant harassment on Twitter is now a cliché; We all know it is a breeding ground for abuse and cyberbullying. Fortunately, the company finally seems to be responding to user demands for better anti-harassment tools with a. to listen new function “safety mode”.

When enabled, the Safe Mode algorithm looks for accounts that are sending hateful Tweets and proactively adds them to the user’s blacklist – but only if you haven’t followed them or interacted with them.

The security mode is still in the test phase and will initially only be introduced for a selected group of users. You can check the option and enable it in your Twitter profile settings:

1. Open Twitter, then go to Settings and privacy> Privacy and security.
2. Tap the “Security mode” Button (if available).
3. Tap the slider to turn on safe mode.
4. You can also choose “Automatically blocked accounts” on this screen to view and manage the list of users the algorithm has blocked for you.

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Twitter says that for the first safety mode feedback group it will “prioritize people from marginalized communities and female journalists,” but it will eventually get into everyone’s settings menu in the future.

This is a smart move by Twitter. Study after study shows women and marginalized groups confronted disproportionately with the worst abuse on Twitter, especially those in public roles like journalists, politicians, content creators, and celebrities, so it’s good to see Twitter prioritize their safety and feedback first.

Other ways to block trolls on Twitter

Security mode seems like a step in the right direction, but we won’t know if it actually makes Twitter more secure until it’s widely available. One cannot help but think that the odds are against it; Trolling almost feels like one endemic part of the Twitter experience, and it’s hard to trust the company after its frustratingly inconsistent history responded to and prevented this harassment in the first place.

Fortunately, for those who can’t access Safe Mode – or if you think the feature doesn’t live up to its name – there are other ways to block trolls on Twitter:

• The easiest thing to do is to manually mute or block an account yourself. You can mute or block someone else’s tweet, your DMs, or their Twitter profile right away. Muted accounts won’t appear on your timeline, while blocking accounts will also prevent them from seeing your Tweets, following you, or sending you messages.
• You can change who is can reply to your tweets.
• You can also take words from your timeline and notifications. mute Settings & Privacy> Privacy & Security> Mute & Block> Muted Words.
• Another option is to use crowd-sourced blocklists that you put in. can import Settings and privacy> Privacy and security> Security> Blocked accounts.
• You can use third party services like Mega block, which automatically blocks anyone who follows an account or likes a tweet you specify.
• If all else fails, setting your Twitter account to Protected will make your Tweets and profile private and new followers will have to request approval. This option is available at Settings and privacy> Your account> Account information> Protected Tweets.

These additional settings and services can make Twitter more secure, but none are perfect.

It’s impossible to manually block every troll or mute every potentially problematic word. Block lists can suddenly change when the admin adds or removes an account from the list, and there’s always a chance that you’re blocking someone you didn’t want when using an app like Megablock. And not everyone can make their profiles private, especially if they rely on Twitter for networking, public relations, or even for their income.

Hopefully there will be new features like the safety mode and the Rumor has it that tools to automatically archive tweets and remove followers will fill in the gaps and offer users more proactive options.

[TechRadar]

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There is an extended COBRA grant that temporarily covers 100% of your unemployment health premiums ends on October 1st. The program allows you to keep your former employer’s health insurance plan for at least 18 months, but you usually have to pay the full cost, which is too expensive for many people. With the end of the subsidy, you may be looking for a cheaper alternative – check out the options here.

Why the COBRA program isn’t great without a grant

the Consolidated omnibus budget reconciliation law, or COBRA, allows you to continue your employer’s health insurance for up to 18 months (or 36 months in some cases) if you or a household member has had a work cut or involuntarily lost your job.

The idea is to offer emergency insurance until you either find a new job with insurance coverage or get a new policy elsewhere. While it sounds good in theory, these group plans are usually heavily subsidized by the employer.83% of the cost, on average. That means the average cost for an individual is about $ 623 per month that you would pay while unemployed. Since the temporary 100% subsidy ends, you may need to look elsewhere for coverage.

So what other health options are there?

If you are on the COBRA program, your former employer should send you a letter by September 15th informing you that the grant will end on October 1st. The letter is also legally required to state your monthly bill without the grant.

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If it is too expensive, you will be eligible for a special registration deadline on the Affordable Care Act Marketplace for 60 days after notification of the change. You can obtain insurance cover from ACA health insurance marketplace—If prompted, please state “Loss of coverage” as the reason for applying (for more information on how to apply, see.) here ).

The good news is that Obamacare is a great option right now as it is are the most recent subsidies that reduce Bronze and Silver plan premiums to $ 0 per monthif you were unemployed in 2021.

When you apply you may also be eligible depending on your income and the state you live in Medicaidwhich exempts or subsidizes most prime costs such as deductibles and co-payments. For more information on applying for health insurance in general, see the Healthcare.gov website.