The perception of pain

Most people experience occasional acute musculoskeletal pain as part of daily living, such as an injury caused by exercising or a minor household accident. Acute pain is short-term and often becomes manageable with home remedies and over-the-counter medication. However, when symptoms persist there is greater chance that it will become chronic pain, which lasts two to three months or longer. That’s when medical advice is needed.

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How low should LDL cholesterol go?

People who are at high risk for cardiovascular disease can benefit from driving down “bad” low-density lipoprotein (LDL) cholesterol levels as low as possible to help reduce their risk for heart attacks and strokes. Guidelines recommend that people at high risk aim for LDL levels below 70 milligrams per deciliter (mg/dL). The general population should strive for levels below 100 mg/dL. Taking statins and adopting healthier lifestyle habits like following a plant-based diet and increasing exercise can help manage LDL levels.

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Time to stop active surveillance?

Active surveillance (AS) is the most common choice for men facing a diagnosis of low-risk prostate cancer, in which the tumor is confined to the prostate gland and unlikely to grow or spread. Men can potentially continue AS indefinitely until their condition changes. There are situations in which they should move to treatment because the cancer has become more aggressive. Or they may be ready to stop if there has been no cancer progression or they no longer wish to continue with the regular monitoring and testing of AS.

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Turning resolutions into reinvention

The vast majority of New Year’s resolutions are forgotten by February. But people don’t have to tie their personal improvement to a calendar date. Reinvention can begin at any time, making any day a fresh opportunity to stretch toward a long-wanted goal. People should break down their one-year goal into a process to accomplish it. Helpful strategies include writing goals down; breaking them into steps; tracking progress; being accountable; and tying progress to an event.

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New allergies in adulthood

Contrary to common assumptions, new allergies can emerge well into adulthood. New food allergies are more common than new seasonal ones, and shellfish is the most prominent late-emerging allergen. Women are more likely to develop food allergies in adulthood than men and to grapple with severe food-related anxiety. Some people with childhood allergies, such as those to peanuts or pollen, stop having symptoms when they reach adulthood. People who experience potential new allergy symptoms should see their primary care doctor or an allergist.

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Best treatments for this common finger problem

Doctors have three ways to treat Dupuytren’s contracture, a condition that pulls one or more fingers toward the palm. A needle aponeurotomy breaks up the thick collagen tissue sticking to the tendons. A collagenase injection contains an enzyme that eats up and dissolves the collagen. Surgery involves the removal of the collagen tissue. With all three procedures, the condition can return. The procedure that’s right for someone depends on the condition’s severity and the location of the collagen.

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