When to visit your doctor:
If you are in an accident or fall and cause injury, seek medical assistance instantly. Delaying the problem can lead to further complications. If you lift a heavy object and your back starts to ache, seek help. If the muscles in your legs cannot provide you support and stability to stand erect on your toes, seek help. If slapping of your feet start when you begin walking, you will need medical support also. At the lower trunk, legs, and back, if you feel weakness, tingling, or numbness you will need medical assistance. During sleep hours if your back gives you problems, you endure fevers, and if you experience chills, seek help. If you loose control of your bladder and bowels, medical treatment is needed. If you notice pain traveling down your arm or leg, in addition to back pain, seek help. If you notice joint pain or swelling in all areas, including the back seek help. If you have back pain and perform home treatment, such as bed rest and taking over-the-counter meds, seek help.

If you feel pain in the back, which you believe is not an emergency; you should rest your back. When pain starts from common activates, it is often because you have over-exerted the joints, muscles, etc. When treating the problem at home, rest in a comfortable position. Lie on your back and place a pillow under your knees. You can also try resting on your back while placing your feet on your couch or chair. The knees should bend at a 90-degree angle. Roll a towel up and situated it so that it supports your neck.

Whatever method you choose and if it is right for you, allow your back to rest until the pain vanishes. If the pain continues however, seek medical assistance. Sometimes you have to rest the back a few days before it ceases aching. Ultimately, you can visit a massage therapist, chiropractor, or someone who performs acupuncture to seek help. In fact, many doctors and mental health experts are incorporated acupuncture into their treatment plans. The process includes needles, which treats the disorder by inserting the injections into the skin at points believed to cause the pain. Acupuncture originated in China, which blocked flow of energy is believed to create pain.

When you rest the back, make sure that you lay on a firm surface, especially if you are resting for a day or so. If you lie on soft mattresses for a length of time, it could cause problems to the muscles that support the back. During the wake hours, you want to continue lying on your back, rather than sitting up to read a book. You can continue the treatment at home by moving around every couple of hours. You want to focus on balancing the body when walking around and use hard surfaces to support your weight.

When you lie back down to rest, make sure you move gradually in position. If you have a back mattress at home, lie on the mattress and allow the heat and vibration motions comfort your aching back.

How to lie in bed properly:
Whichever side your pain is, sit on the edge of your bed and lower the head, so that it balances with your trunk. Raise the legs and slowly turn over onto your back. Use your arms to erect from bed rest.

Back pain and emotions go hand in hand, since when one experiences pain it causes threat to the emotions. When the emotions are threatened, “Look out Henry,” John Doe is in the house. Back pain has symptoms, which include depression, irritation and hopelessness, which starts with back pain and ends with emotions. The person will often accept the proposal that the emotions deliver, leaving them to believe that no help is present. In most back pain instances however, help is sitting in front of you.The rule of thumb is to listen, learn, and take action. When you learn all you can about your condition, you can move to accept its symptoms and take action to resolve your problem. In fact, the information you gain can work in your favor, since you may learn strategies that relieve your pain without costing you a fortune.

Most back conditions are treated with Rest, Ice Packs, Compression, and Elevation. (R.I.C.E.) Remember this rule and apply it as needed. Unless your back is broken, most back conditions are treated with basic common sense and non-costly remedies. Take action!

Tell John Doe to move it on over, since Henry is taking control. The emotions are lethal injections if you allow them to take over your life.

Fact: About 33% of the patients who visit common medical practitioners do not receive relief from back pain.

Fact: Chiropractors specialize in back pain. Chiropractors overall has lowered back pain up to a percentage higher than ordinary physicians have. Acupuncture and massage therapy has helped more patients than standard medical treatment.

FACT: Back surgeries can lead to further complications.

Physical therapy is a great way to minimize back pain. In the worst case scenarios people have trained in weights and aerobics, thus reducing pain.

Back pain is relieved when one uses practical reason. Aspirin for instance can relieve most states of back pain with the exceptions of severe aching. Practical reasoning should tell you that the muscles are stressed, which basic stretch workouts can resolve the problem. Stretch those muscles!

Understanding your condition is the first step to taking action. In addition, when you know your condition you can relax. Pushing the muscles is overexertion that leads to back pain. If you are weight training and notice pain in the back, change your actions and perform other types of workouts.

Discomfiture (Oh no, not John Doe again) can cause a person to feel pity, instead of taking action. Don’t let John Doe out of the bag, rather get into the grove and stretch, relax, and rest.

Fact: Ecotrin is a painkiller that is sold over the counter. If you have back pain and take this medicine four times daily with a meal, you can reduce back pain. Take Ecotrin if you have overexerted the muscles to relieve pain.

Fact: Over the counter medications, such as Ecotrin will reduce pain caused from sprains and osteoarthritis.

Over the counter meds, such as Ecotrin has proven to reduce inflammation and swelling, which is the leading cause of pain.

Fact: If you take, Ecotrin prior to working out, you can reduce the odds of back pain.

Do not take over the counter medications if you have acute back conditions. The remedies are designed for short-term relief. Overusing the remedies can damage the kidneys and cause ulcers to develop.

Fact: Tylenol is linked to liver damage, yet if you use Tylenol in short-term regimens to relieve pain, the painkiller works alongside the central nerves to reduce pain.

Sometimes when we pull the muscles pain relievers can help reduce the pain. Common over-the-counter meds include ibuprofen, aspirin, or meds with acetaminophen included. You should avoid taking ibuprofen and aspirin combined to treat common back pain. In addition, if you have asthma, allergies, or polyps, leave ibuprofen and aspirin alone. Cold packs work well, yet if you have conditions such as rheumatoid arthritis or related symptoms you should avoid using cold packs. Cold packs can reduce back pain otherwise if you allow the packs to remain on your back long enough to reduce muscle spasms, pain, or inflammation. Leave the cold pack on the area where your pain is for at least twenty minutes.

Later you can apply hot packs to the area. Avoid placing hot packs over areas where scar tissue is present. In addition, if you have poor circulation, avoid placing hot packs in this area as well. Leave the hot packs on your back for at least twenty minutes as well. Do not use heating pads, since experts believe that the pads are unsafe. You can take a hot, steamy bath or shower, or purchase hydrocollators and place it on the area. You can find hydrocollators at pharmacy, or areas where medical equipment, meds, etc, are sold.

If you muscles are tight, you may benefit from a massage. If someone you know is willing to give you a massage, ask him or her to rub the area gently. Otherwise, you may find local massage therapists in your area, which offer affordable treatment. If the massage increases your pain, ask the person to stop. You may need medical treatment. You should avoid massages if you have fallen and injured your back, or if you were recently in an accident. Seek medical help first.

You can also relax the back if your muscles are tense. Relaxation promotes wellness, since the muscles can rest from over-exertion.

To avoid complicating common back pains you should move around at least 20 minutes each day. Throughout the day we sit, lie on the back, stand, walk, etc, which all applies gravity pressure to the spine. We can learn proper sitting strategies to avoid complicating common back pain.

When sitting you can roll a towel up and situate it at the lower back and on your chair. This will provide the lumbar support. If you have, certain conditions however avoid using such support. Conditions such as spine stenosis or spondylolisthesis can become irritated if you use back supports in such a way.

At what time you sit, try to use a chair that has armrests so that you can use the rests to lower your self in position. Avoid placing the legs directly “in front of you,” and do not bend when you lift your self from the chair. Avoid twisting when rising from a seated position as well.

To minimize back pain you should avoid sitting for long hours. Walk around in intervals if you have a job that requires you to sit for long hours. At what time you sit, try to position your knees so that they are somewhat above the hips.

Common back stress can be reduced, yet if you try remedies at home or at work and the remedies fail, you may need to seek medical advice.

The common symptoms of Osteoporosis are weakness, joint pain, back pain, height loss, unsteady gait, Kyphosis, or Dowager’s hump, and so on. Osteoporosis affects the metabolic bones, which leads to dysfunction and results in bone mass reduction and increases in porosity. While the thoracic involves the chest, if you read more about edema and related illnesses you can learn how it causes back pain. What causes Osteoporosis varies. Osteoporosis may emerge from drops in estrogen levels. Estrogen is a hormone that works in harmony with a selection of steroid hormones. The hormone produces in the ovaries, which stimulates sexual heat (estrus) and develops the female secondary sex characteristics. Estrus is the sexual heat we feel as females, which starts at regular intervals when excited.

Lack of exercise, immobility, and deficiency of calcium is also considered when Osteoporosis is present. Protein deficiency, bone marrow disease, deficiency of Vitamin D, Cushing’s syndrome, Hyperthyroidism, liver disease, and increases in phosphate is all linked to Osteoporosis.

When Osteoporosis is present the bones rate often exceeds the rate in which the bones form. Osteoporosis causes phosphate (Phosphoric Acid) to increase stimulation, which are affected by the parathyroid activities, and increases in “bone resorption.”

Parathyroid glands are located near the thyroids, which is where parathyroid activities start to increase when Osteoporosis is present. Osteoporosis also causes estrogen to slow bone resorption. Bone resorption is the process where the bones resorb or uses other mechanics to resorb or partially fuse fluids, chemicals, etc, which emerge from hormones, such as estrogen. When the fusions are partially acting it performs actions, yet when the action is interrupted, it causes responses, in turn causing change in conditions, such as pressure or temperature.

The actions behind Osteoporosis cause back pain, joint pain, weakness, and so on. Doctors will often order X-rays and photon absorptiometry tests to discover Osteoporosis. The tests help the doctor see thinning of the porous bones, or increases in the curves of the spine. In addition, mineral drops are noted within the tests when Osteoporosis is present as well.

Once the doctor diagnosis the patient with Osteoporosis, he/she orders medical treatment and nurse interventions. Management includes supplements, which are commonly Vitamins D, C, Calcium, specifically Calcium Carbonates-Os-Cal. Estrace or Estradiol is added also, which is estrogen supplements. The patient is recommended to join in activities, only when tolerated. To treat the pain, doctors often prescribe NAID-based prescriptions, such as Dolobid, Naprosyn, Naproxen, Motrin, Ibuprofen, Voltaren, and so on.

A diet must be maintained when Osteoporosis is present. In addition, the doctor monitors the musculoskeletal system, since disorders can cause additional interruptions. Doctors will generally monitor the patient’s activities, as well as limit their activities, since Osteoporosis can cause fractures or breakage of bones. The problem will lead to further complications. At this time, there are no surgical interventions to fight Osteoporosis, yet Osteoporosis is common, which experts are diligently searching for cures.

When doctors consider Osteoporosis, they must also weed out Osteogenic Sarcoma, or Osteosarcoma, as well as Gouty arthritis, Osteoarthritis, and related disease. Many of the disease challenge doctors, since their symptoms are similar in comparison.

If you were recently diagnosed with Osteoporosis, you may benefit from correcting the posture and training the body mechanics. Your doctor probably recommended that you do this, otherwise inquire within.

If you were recently diagnosed with Osteoporosis, you may also want to learn more about your disorder at the Osteoporosis Foundation. Learning more about your diagnose can help you to gain control over the disease.

Osteogenic sarcoma is a malignant or benign bone tumor, yet when Osteogenic sarcoma is present, the bone malignant is present. The tumor causes invasion of the ends that rest at the elongated bones. Etiology aspects claim that Osteogenic sarcoma may limit certain activities, such as osteolytic and osteoblastic. The physical aspects are considered when the cell growth is unregulated and controlled by linking cell divisions. If lack of control and regulation is present, it can result in growth of abnormal tissue, which contains a tumor and/or tissues. Osteoblastic activities may cause bone-forming cells (Osteoblastic) to overdevelop or under develop the bones. Anytime the connective tissues are interrupted, it causes intense problems over the entire body.

When osteoblasts start, the tumor begins dissolving the soft tissue and the bones, which presents danger, since the growth can travel to the lungs. (Tumors may be growth that develops into cancer, which emerges from lumps or swelling)

Symptoms:
When Osteogenic sarcoma is present, the patient may experience pain. Limited mobility is present as well, which causes weakness and can lead to fractures. The soft tissues often mass, spreading over the site where the tumor resides and causes the tissues to heat. The body temperature will elevate, which increases the symptoms.

How doctors diagnose Osteogenic sarcoma?
Doctors will often use a variety of tests, such as bone scans, aspirations to test bone marrow, biopsy, CT (Computerized Tomography) scans, blood chemistry, and so on.

Once the tests are completed and if increases in alkaline phosphatase, cancer cells, mass, etc are noted, a diagnostics is set in motion. The diagnostic leads to medical management, nurse intervention, care, etc, which doctors will then monitor the patient to weed out further complications.

Further complications may include metastasis and/or fractures. Fractures are severe, yet metastasis is spreading of cancer that starts from the tumor. Once it begins to spread, it travels through the body, exporting its tiny clumps to the cells and transports itself via the blood or in the lymph. The tumor is malignant, which develops and spreads if cancer is present. Osteogenic sarcoma then is dangerous.

Treatment:
Doctors often recommend a high-protein diet. The patient is also monitored, and treated with heparin lock therapy. As well, the patient is recommended radiation therapy, lab studies, etc. Calcium and phosphorus is also prescribed. While Osteogenic sarcoma can cause back pain, it is wise to seek information from ACS. (American Cancer Society) Having an overall view of your diagnostics can help you focus on finding a cure, or better health.

ROM exercises, painkillers, and so forth are often prescribed when Osteogenic sarcoma is present. While the pain often starts in the various areas, thus it can spread throughout the body. The patient is often prescribed NSAID. Some activities are limited, since it can increase the pain. The patient is also advised to avoid infectious people.

Nurse intervention often includes various treatments, which the purpose is to avert further complications, such as paralytic ileus, urine retention, sensory/motor deficits, infection, and muscle spasms.

In addition to Osteogenic sarcoma causing back pain, osteoarthritis, osteoporosis, spinal fusions, gouty arthritis, and rheumatoid arthritis can all cause back pain. Rheumatoid arthritis is perhaps an autoimmune disease. Ultimately, it is transmitting through genetics.

Gouty arthritis in etiology aspects emerge from hyperparathyroidism, genetics, polycythemia Vera, decreases in uric excretion, and chronic renal (Kidney) failure.

ESR, or uric is noted Synovial fluid is tested. If the results show positive sodium urates crystal formation, thus management is planned. The doctor may start management before the tests are administered, especially if he/she suspects that gouty is present.

The physical condition merges from a single tumor, which starts in the bone marrow and disseminates into the liver, lymph nodes, spleen, bones, and kidney. Tumors of this nature set up in plasma cells, which manufacture abnormal counts of immunoglobulin. The tumor then triggers activities, such as osteoblastic, which leads to destruction of bones and extends all through the body. Symptoms emerge from the actions, which include headaches, hemorrhaging, height loss, severe, and constant bone pain, splenomegaly, fractures, hepatomegaly, deformations of the skeletal muscles, ribs, sternum, and renal calculi. Multiple infections often emerge from the tumor as well.

As you can see, the symptoms will cause back pain as well, since the skeletal system, muscles, ribs, etc, are affected.

How multiple myeloma is noted:
Doctors order x-rays, bone marrow biopsy, blood chemistry, bone scan, hematology, urine chemistry, immuoelectrophoresis, and Bence Jones tests to note multiple myeloma.

If the doctor spots diffusions that point to spherical punch-outs of bone lesion, the search carries on to discover potential osteoporosis. As well, the doctor will look for osteolytic lacerations of the cranium, and widespread of demineralization.

Doctors will look for various signs that diagnose multiple myeloma, including monoclonal spike, increases in count of juvenile plasma cells, and so on. Once tests are completed management, interventions, and other steps are taking to avert paraplegia, gout, acute renal failure, seizures, hemorrhaging, urolithiasis, infections, and fractures.

If you are diagnosed with multiple myeloma, it is recommended that you sway away from lifting heavy objects. Lifting may cause constipation. In addition, you should avoid over-the-counter medications, since it to can cause variant symptoms to emerge. You will need to wear braces, casts, or splints also to avoid fractures.

Occult blood could set in if you have multiple myeloma, which doctors will often recommend that you watch for its symptoms. Strength training exercises or exercises that exercise the muscles is highly recommended to those with multiple myeloma. Doctors often set up medical management schemes, which include diet forced fluids, transfusion therapy, mouth and skin care, etc.

As the management scheme is setup, the doctor will monitor the patient, since falling is dangerous. In addition, the patient is monitored, since bruising and infections could set in and increase the symptoms. Activities and bed rest is incorporated into the scheme. The patient must also learn stress reduction strategies.

Post-radiation and post-chemotherapeutic treatments are issued in severe cases. In addition, the patient is monitored for infections, bleeding, and imbalances of electrolyte. Patients are encouraged to monitor symptoms at home, including symptoms that merge from fractures, seizures, and renal calculi.

If you are diagnosed with multiple myeloma, you will experience pain over the entire body. You can minimize the pain by following your physician’s recommendations. In addition, you will need to learn more information about your disease from the ACS. (American Cancer Society)

Unfortunately, back pain emerges from a variety of conditions, including cancerous diseases. In fact, hemophilia can cause back pain, which we can discuss briefly.

Hemophilia is an inherited bleeding disorder. The disease is characterized by various symptoms, yet it is separated from Hemophilia A and B. VIII is the common disorder, which deficiencies. Deficiencies also emerge IX B disorders. To learn more about back pain, study diseases, disorders, muscle skeletal disorders, and so on.

The pituitary glands are stimulated by hypothalamic. The pituitary glands are also affected by carcinoma and/or adenoma. As well, the adrenal glands are affected by hyperplasia when Cushing’s syndrome is present. When Cushing’s syndrome is present, exogenous secretes into the ACTH via the neoplasm, which is malignant. It continues onto the gallbladder and lungs. You will need to read the anatomy of the skeleton system to see how it affects the spinal column, which in turn causes back pain.

The disorder prolongs or submits excessive administration of ACTH and/or Glucocorticoids into the system, which transmits to the cortex. Since ACTH is secreted excessively into the system, it causes joint pain, edema, fragile skin, weight gain, hypertension, ecchymosis, fatigue, weakness, hirsutism, mood swings, and so on. The symptoms carry onto create acne, abdomen striae, slow healing, moon face, muscle waste, recurrent infections, buffalo humps, gynecomastia, truncal obesity, and so on. We see that obesity, joint pain, weight gain, edema, and other elements of the disorder causes back pain as well.

The symptoms are considered before diagnostics is conducted. Doctors will use a variety of tests to discover Hypercortisolism or Cushing’s syndrome. In short, Cushing’s syndrome is a condition set up by weak muscles and obesity, or abnormal conditions of the body’s functions. The tests conducted to show Cushing’s syndrome include blood chemistry, dexamethasone suppression, X-rays, GTT, CT scans, angiography, ultrasonography, and so on. During testing doctors will look for decreases in “17-OHCS,” osteoporosis, tumors, especially in the pituitary glands and adrenal glands, decreases in potassium, increases in cortisol, sodium, Aldosterone, ACTH, etc. Doctors will also search for decreases in eosinophilis, red blood cells, and white blood cells.

When the condition is noted, doctors recommend management. Diets are instructed, which include low-calorie, sodium, carbohydrates, etc. The patient is ordered to take high-protein and potassium regimens as well. Activity is ordered, yet only as tolerated by the patient.

Once management starts, the doctor will monitor the patient. During monitoring your doctor will perform additional tests, which include UO, I/O, VS, glucose, ketones, and so on. Radiation therapy is prescribed in the worst conditions.

Cushing’s syndrome can lead to further complications, including nephrosclerosis, insufficient adrenal, fractures, arteriosclerosis, infections, diabetes mellitus, hypertension, CHF, arrhythmias, psychosis, and so on.

If you are diagnosed with Cushing’s syndrome, it is important to maintain your diet, balance fluids, rest, and limit intake of water. Your doctor will set up a regimen and/or management scheme, which you should follow accordingly to avoid further complications. Since this disorder affects the entire body and puts you at risk of fractures, peptic ulcers, etc, it is important to follow precise orders.

Fractures can lead to serious back pain. Fractures are outlined in medical terms as permanence breaks of the bones. Cushing’s syndrome puts you at risk of fractures, which could include greenstick, avulsions, pathologic, depression, oblique, spiral, compound, compressed, etc. In addition to fractures, obesity will cause back pain. If possible, try to reduce your weight. You can ask your doctors about workouts suited for your condition, which you can act on to reduce weight. Your doctor may suggest some steps you can take to reduce weight as well.

Cushing’s syndrome can cause back pain, yet various other diseases can cause pain to the back as well, including cholecystitis. Learn more about the inflammatory disease to see how it causes back pain.

The disease is complication, yet it cause back pain. According to Pathophysiology views, the scatters of demyelinization will start affecting the brain, as well as the spinal cord. Once it affects these areas degeneration starts targeting the myelin sheath (Nerves that insulates the layers of cells) and causes a string of patches of sclerotic tissues. The patches impair the conduction, which reaches the “motor nerve impulses.” How do I know if I have Multiple Sclerosis?
You consider the symptoms. The symptoms include ataxia, blurred vision, weakness, heat intolerance, nystagmus, sensation impairment, speech scan, diplopic, optic neuritis, paresthesia, tremor intentions, euphoria sensations, paralysis, incontinence urine, and powerlessness to feel or measure the pose of the body.

What is ataxia?
Ataxia is the lack or inability to control the muscles coordination or movement.

What is nystagmus?
Nystagmus is involuntary movements of the eyes, which rhythmically move from side to side and is caused from the disease since the nerves and muscles behind the eyeball is affected.

What is diplopic?
Diplopic and/or diplopia are double vision. Double vision is caused from lack of coordination of the eye movement. The optic neuritis also affects the eyes.

If multiple sclerosis is present doctors use MRI tests, EMG, CSF, CT, Oligoclonal banding, and so on. Once the tests are completed and if increases of G (IgG), i.e. immunoglobulin are present and protein intake is increasing as well, thus WBC is present, he considers medical management.

Atrophy when spotted under MRI tests will start medical management as well. The medical management varies from patient to patient. Back pain is common.

According to statistics, the mass of people in the universe will suffer some degree of back pain. Some people go through the pain, yet have never sustained injuries. Other people may experience pain from injuries, and feel how horrible the pain can become.

When considering back pain one must ask what its cause is. How can one control the pain? What self-care prevention strategies can one use to ease back pain? What treatments are available to me?

The fact is back pain can occur from feet conditions, such as swelling, heel pain, burning soles, battered ligaments, and so on. Sport injuries, car accidents, inappropriate bending, and lifting are all related to back pain.  In fact, various medical conditions cause back pain, including multiple sclerosis, edema, and so on. With the many variants related to back pain, one must educate you on how the spine is structured and what happens if that structure is interrupted. Let’s get started and learn what we can about back pain, and how we can eliminate such stress in our lives.

When multiple sclerosis is present, medical treatment often includes diet, controlled exercise, speech therapy, physical therapy; fluids increased, meds, and so on. Muscle relaxants, such as Baclofen or Lioresal are giving to the patient etc. The doctor will often recommend that the patient take Maalox. Maalox is laced with magnesium and aluminum hydroxide, which is in the muscles and apparently lacking its natural remedy, thus the Maalox acts as a substitute.

Alterna-GEL is also prescribed, which has the chemicals the muscles produce as well known as aluminum hydroxide gel. Once medical management is set up doctors will consider nurses intervention.

Working the triceps:
Triceps is the extensor muscles, which require stretching to avoid tension. Stand erect and lift your arm (Right) and rest the tips of your fingers on the shoulder. (Right) Use your free hand and push it against the opposite elbow. If possible, lower the fingers down the length of your back while pushing the elbow. Count to eight and perform the same actions on the opposite side.

Next, stretch them arms. Form a circle. First, stand erect while keeping your feet at shoulder length. Level the arms and stretch them outward in sync with the shoulders. Circle and bring the arms ahead. Count to ten and perform the same actions on the opposite side. Circle the arms largely as feasible.

Now work that torso. Stand erect, keep your feet at in alignment with the shoulders and gradually rotate (Starting at the waist), and then stretching to one side. Stretch ahead and move your body in rotation to the opposite side. Extend back and around again to the opposite side. Continue on each side.

Work that trunk:
Stand erect, keep the feet the length of your shoulders and slightly apart. Bend the knees slightly. Lock the fingers behind the head, and bend starting at the waistline, touching your right knee, joining it with the elbow on the right side. Next, rotate the torso, or trunk, rotating it to the left and then touch your left knee. Extend backwards to you are standing erect again.

Once you are standing erect, slightly move your feet apart and bend the knees somewhat. Lift your arms to the height of your shoulders and grip the hands while turning to the side, starting at the waistline. Hold, count to five and do the same on the opposite side. Next, keep the hips and legs motionless as you turn the upper section of your body, only.

Stand erect, while extending the hands down at the sides. Bend the knees somewhat and gradually lift the arm as far as you can reach over the head. Slowly, glide the free arm, sliding it down to the leg, and pull the arm so that it is over the head as high as you can reach. Push down and onto the thigh, returning to standing position. Continue on the opposite side and do three reps.

Stand erect, keeping the feet at length with your shoulders. Bend the elbows at the height of your shoulders. Join your fingertips and gently fling the arms toward the back, staying consistent with the height of the shoulders. Continue the action on each side, counting to ten as you move along.

Continue:
Stand erect, and grip your hands, joining them and extending them behind the back. Lift the hands up and out as high as you can reach. Count to five and lower. Stand erect and keep the feet at the length of your shoulders. Bend the knees somewhat and lock your fingers, while raising the arms to the height of your shoulders. Once in position, push the arms ahead. Do not lean to the front. Stretch and count to ten. Perform the same actions, counting to five.