Experts estimate that up to 18 per cent of the population will experience clinical depression at least once in their lives. To make matters worse, according to a report from the World Health Organisation, depression is expected to become one of the top causes of disability worldwide by 2020. [Lancet 1997;349:1498-1504]
It is no question that this condition is a prevalent and relentless disorder that would definitely prevent you and your family from experiencing a healthy and enjoyable life. Fortunately, depression can be addressed, without the need for potentially dangerous medication, through regular exercise.
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Fibromyalgia (FM) management can be as difficult as making a definitive diagnosis. FM is characterized by generalized body aches and feeling exhausted, and yet, in spite of the exhaustion, the inability to sleep is a “classic” FM complaint. Some have referred to FM as “blowing a fuse” or as an “energy crisis,” as more energy is expended than what’s being made. FM sufferers, as well as the caregivers, know how physically and mentally difficult it is to manage this controversial condition. Many management strategies that have been published; SHINE is one approach. SHINE stands for Sleep, Hormones, Infections, Nutritional supplements, and Exercise. By focusing treatment strategies on these 5 areas, significant benefits can be achieved.
SLEEP: Some feel this is the most important problem to manage in order to gain control of FM. If we cannot reach “deep sleep,” (which is the sleep stage that is usually reached after about the 4th hour into sleep) then the body cannot fully rest. When discussing sleep problems with the FM patient, it is common to hear them say, “…I wake up every 1-2 hours and can’t get back to sleep for at least 15-30 minutes.”
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