A cure for the wintertime blues?

Seasonal affective disorder (SAD), a type of depression that begins in late fall and early winter, is caused by lack of sunlight exposure. Common symptoms of SAD include lack of sexual energy, overeating, problems sleeping, and social withdrawal. SAD is also associated with impaired cognitive function. Getting more sunlight from being outdoors or sitting in front of a sunlit window helps stimulate the brain’s 24-hour sleep-wake clock. Taking antidepressants and using light therapy (which involves sitting in front of a light box) also can help manage SAD.

Content restricted. Requires subscription

Stay safe playing pickleball

Pickleball continues to soar in popularity, especially among older adults. Unfortunately, more playing can lead to court-related injuries, the most common being strains and sprains in the legs and knees, and wrist sprains and fractures from falls. Pickleball injury prevention is threefold: performing lower-body strength exercises, such as lunges, squats, and heel raises, at least twice a week; doing a dynamic warm-up before playing; and working on agility and balance, which can help improve footwork and reduce the risk of falling.

Content restricted. Requires subscription

Can weight loss slow prostate cancer?

Many men diagnosed with low-grade prostate cancer follow active surveillance, in which they regularly follow up with a doctor for routine PSA tests, prostate biopsies, and possibly MRI scans. If there is evidence their cancer has progressed, then they can consider treatment (radiation or surgery). While there is little men can do to slow the growth of known low-grade prostate cancer, losing excess weight and keeping it off may help keep undetected high- or medium-grade cancer from becoming more aggressive.

Content restricted. Requires subscription

Managing back pain

Most acute back pain happens because of weak muscles related to aging and inactivity. Symptoms usually last a few days, but pain and stiffness sometimes linger for a couple of weeks or longer. Frequent episodes can make people less active, as they are fearful about straining their back. Managing acute back pain is a two-step approach. First, treat the pain with over-the-counter remedies, cold and heat therapy, and rest, and then strengthen the back muscles and improve flexibility to prevent recurrent back pain episodes.

Content restricted. Requires subscription

Reframing hospice and palliative care

People who choose hospice care forego aggressive medical interventions, but still receive symptom relief and comfort measures. Palliative care differs by offering symptom-focused relief for people who are seriously ill at any stage. Routine hospice care supports patients in their home with medication and visits, while patients who need round-the-clock care can be cared for in either a hospital-based hospice unit, dedicated hospice facility, or nursing home. Patients who choose hospice receive support to carry out end-of-life priorities.

Content restricted. Requires subscription

Lynch syndrome: Reclaiming power

Lynch syndrome is an inherited condition that predisposes people to colorectal, uterine, ovarian, and other forms of cancer. Genetic testing can pinpoint Lynch syndrome, and genetic counseling is also recommended. People with Lynch syndrome need frequent cancer screenings and should watch for symptoms. Women with Lynch syndrome are also advised to undergo risk-reducing surgery that removes the ovaries, fallopian tubes, and uterus between ages 35 and 40, unless a woman is planning another pregnancy.

Content restricted. Requires subscription