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Dr K K Aggarwal

Tackling tension headaches

By Dr K K Aggarwal
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Tension headache usually develops in the afternoon, causing mild or moderate pain that may feel like dull tightness or a band of pressure. Tension headaches occur when neck, shoulder, and scalp muscles become tense. If you suffer from headaches often, more than once or twice a week.

• Don’t skip meals.

• Get enough sleep.

• Avoid stress and fatigue.

• Learn physical and relaxation therapies.

• Apply heating pad to the neck and shoulders to relax the muscles.

• Exercise the muscles of neck and shoulders by strengthening and stretching them.

• Relaxation exercises that focus your attention on various parts of your body in order to relax and release tension and stress can also help.

• Learn Biofeedback relaxation techniques. Learn to recognize when you are becoming tense and then find ways to relax the muscles before they tighten so much that you develop a tension headache.

• Identify trigger points, at the back of the neck or in the shoulders. Injecting a local anesthetic into these areas may eliminate the pain and prevent headache.

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Spiritual summary: One should continuously (beaded rosary) control the air (anahata plexus) within us by using our sharp intelligence (sword) and balancing the mind (Trishul) by focusing on one point (arrow and bow), practicing detached attachment (lotus), accepting things as they are (Kamandalu), keep smiling in both acceptable and difficult situations (smiling face) and killing the negative energies by using discus (power) when needed. This can be assisted by chanting YAM focusing on 4th heart anahata thymus plexus chakra”.

Kushmanda is worshipped on 4th Navratri. SHE shines brightly with a laughing face. Out of eight hands (Ashtabhuja) in her four arms, she carries weapons like bow, arrow, discus and mace. In other three hands, she holds a lotus, a beaded rosary and a Kamandalu. In remaining hand, she carries a jar of nectar. SHE rides on Lion. Rosary represents her power to bless her devotees with Ashtasiddhi (eight types of studies or wisdom sources) and Navanidhi (nine types of wealth).

In Ayurveda, SHE represents the control over the air element. In Yoga Shastra, SHE represents the heart or Anhata Chakra with the Bija sound YAM.

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Exercise impact on the knee

By Dr K K Aggarwal
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Different exercises produce different impacts on the knee joints. The best and safest exercises causing minimum impact on the knee after knee replacement or patients with knee arthritis are walking, biking, hiking, riding an exercise bike, riding an elliptical trainer and walking on the treadmill. In sports one can play doubles tennis and not singles. One can also participate in downhill or cross–country skiing.

The maximum stress–producing exercises are jogging and golf swings.


• Biking generates the least force, producing impact of about 1.3 times the person’s body weight.

• Treadmill walking was next best, producing forces of 2.05 times the body weight.

• Walking on level ground generated forces of 2.6 times the body weight.

• A game of tennis produces forces of 3.1 to 3.8 times the body weight; serving produces the highest impact.

• Jogging produced forces of 4.3 times body weight.

• Golf swings produces forces of 4.5 times body weight on the forward knee and 3.2 times body weight in the opposite knee.

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“Spiritual summary on the 3rd Navratri: One should continuously (beaded rosary) control the fire (solar plexus) within by using our sharp intelligence (sword) and balancing the mind (Trishul) by focusing on one point (arrow and bow), practicing detached attachment (lotus), accepting things as they are (Kamandalu) and killing the negative energies by using gada (power) when needed. This can be assisted by chanting RAM focusing on 3rd celiac solar plexus chakra”.

Chandraghanta is worshipped on the 3rd day of Navratri

SHE is shown with golden skin and riding a tiger. She is depicted with ten hands and 3 eyes with a crescent moon on the head.

Eight of HER hands display weapons. The rest two are in the mudras or gestures of boon giving and stopping harm (Varada and abhay mudra) indicating protection.

Out of eight hands five contains bow and arrow (to bend, focus, one-point determination. The bow and arrows also represent energy. Holding both the bow and arrows in one hand indicates control over both potential and kinetic energies); Trishul (balance), sword (sharp intelligence) and mace (power to destroy the evil). Rest three hands contain rosary (tapas); lotus (detached attachment) and Kamandalu (acceptance).

In Ayurveda SHE represents the control over the fire element. In Yogashastra, SHE represents the solar or Manipura Chakra with the Bija sound RAM.

The sound of her bell terrifies demons as well as all enemies.

SHE represents protector and bravery.

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Managing Diabetes

By Dr K K Aggarwal
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• People with prediabetes are at increased risk for developing type 2 diabetes, heart disease and paralysis.

• More than 25% people have prediabetes (blood sugar level more than 90 but below 126 mg/dL) but only 4% know it needs attention.

• Diabetes is not just about controlling blood sugar. Controlling BP (<120/80) and LDL bad cholesterol (<70) is equally important.

• Smokers face 44% increased risk of diabetes when compared to nonsmokers (Swiss researchers JAMA)

• Advancing age, diabetes, high BP, obesity, smoking, drugs, heart diseases, alcohol, cycling for > 3 hours/week can cause erectile dysfunction.

• Each 1 mg increase in serum uric acid increases the risk of developing diabetes by 18%.

• Keep your fasting sugar, lower BP, bad cholesterol, abdominal girth all below 80.

• Recent studies have shown that people at risk of type 2 diabetes can prevent onset of diseases by losing 5 to 7% body weight.

• Patients with diabetes should drive only if their blood sugar is under control and there is no evidence of end organ disqualifying disease.

• Significant snoring with episodes of cessation of respiration during night can lead to diabetes.

• Treating depression may help people with diabetes get their blood sugar under control.

• Sudden cardiac death is preventable – keep your diabetes under control.

• If BP and diabetes are kept under control, 75% dialysis and transplants can be prevented.

• One in five patients with diabetes have abnormal Treadmill Stress Test

• Patients with metabolic syndrome are 5 times more likely to develop diabetes (National Heart, Lung, Blood Institute).

• Diabetic patients have similar risk as non–diabetics with one heart attack.

• Fifty percent of diabetic patients may have associated high blood pressure.

• Uncontrolled diabetes can cause heart attack.

• Hypertension and diabetes together raise the chances of heart attack manifold.

• Diabetics can have heart attack without the classical symptom of pain.

• Diabetes can remain silent for over five years.

• Uncontrolled diabetes can cause impotence.

• Uncontrolled diabetes can cause blindness.

• Uncontrolled diabetes can cause paralysis.

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“Spiritual summary: Purify the mind (white cloth) with continuous efforts (japa mala) by accepting the things and situations as they are (kamandalu) and building humility in the mind (egoless state)”. This can be assisted by chanting VAM focusing on 2nd gonadal chakra.

Brahmacharini (Uma or Tapacharini) is worshipped on 2nd day of Navratri as the goddess who performed ‘Tapa’ (penance or continuous efforts) (Brahma – Tapa, Charini – Performer). SHE personifies love and loyalty and provides knowledge and wisdom. Those who worship her, attain, Tap (Religious Austerity), Tyagi (Sacrifice) and Vairagya (Asceticism).

She is shown to hold Japa mala (rosary beads) in her right hand and Kamandal in left hand. This form of Shakti as per Yoga Shastras is present in second gonad chakra (in Allopathy gonad plexus) called Svadhisthana Chakra. The bija sound for the chakras is VAM which removes attachments. In Ayurveda the 2nd Chakra represents the water element.

In mythology ‘white’ represents purity of mind; beaded rosary or japa mala represents continuous efforts (meditation and concentration) and Kamandalu represents acceptance and water in it represents pure thoughts.

Kamandalu also means living an egoless state of mind. Kamandalu is a water pot made from a dry pumpkin contains nectar and is shown on the ground next to Shiva. The process of making Kamandalu has deep spiritual significance.

A ripe pumpkin is plucked from a plant, its fruit is removed and the shell is cleaned for containing the nectar. In the same way, an individual must break away from attachment to the physical world and clean his inner self of egoistic desires in order to experience the bliss of the Self, symbolized by the nectar in the Kamandalu.


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Psoriasis Update

By Dr K K Aggarwal
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Psoriasis is a complex immune–mediated disease and is a common disorder that affects men and women equally.

Although it can begin at any age, the peak times for disease onset are young adulthood (ages 20 to 30 years) and late middle age (ages 50 to 69 years).

There are multiple clinical subtypes of psoriasis. Plaque psoriasis, the most common presentation of psoriasis, most commonly presents with sharply defined erythematous plaques with overlying silvery scales. The scalp, extensor elbows, knees, and back are common locations for plaque psoriasis lesions.

Psoriatic arthritis occurs in about 30 percent of patients with psoriasis, and precedes the skin manifestations in approximately 15 percent of patients.

A diagnosis of psoriasis can be made by history and physical examination in the vast majority of cases. Occasionally, a skin biopsy is needed to rule out other conditions.

Numerous topical and systemic therapies are available for the treatment of psoriasis. Treatment modalities are chosen on the basis of disease severity, relevant comorbidities, patient preference (including cost and convenience), efficacy and evaluation of individual patient response.



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Navratri is the detoxification of body, mind and soul. Body detoxification involves eating a Navratri diet along with observing the following principles:

1. Eating less. Eating once if possible.

2. No cereals. You can take wheat grass juice.

3. Satvik lifestyle. In Navratri diet

1. Flour is replaced with Kuttu or Singhara flour.

2. Pulses are replaced with amaranth or Rajgiri.

3. Rice with Samak rice.

Mental and soul detoxification involves practicing Yoga Sadhana as described in nine forms of Durga.

As per mythology, Mata Shailputri is daughter of mountain king –Himalaya. She is the first among nine avatars of Durga and worshipped on the First day of Navratri. In Yogashastra she represents the lowest Muladhara chakra. In Ayurveda Muladhara chakra represents the earth element (attachments).

The bija sound to chant is LAM in the sacral root area. In Allopathy, she represents activation of sacral autonomic plexus.

The Goddess has a half moon in her forehead. She is holding a trident (trishul) in her right hand and a lotus flower in her left hand. She rides on Nandi a bull. Shailputri represents the shakti or power of the root chakra, who, upon awakening, begins Her journey upwards in search for the last crown chakra (Shiva).

Bull in mythology represents ‘desires’. On the first day we must let go our desires. Trishul represents balancing Tamas, Rajas and Satwa. Lotus represents practicing detached attachment. We are required to donate all Rajsik and Tamsik foods and items so that we are not attracted during Navratri. Moon represents thinking with a cool mind.

On the first day, Yogis keep their mind concentrated on Muladhara chakra as the starting point of spiritual discipline or Yoga Sadhna.

What to do on first day

• Let go your desires.

• Keep the mind cool.

• Practice detached attachment.

• Balance Tamas and Rajas guna with Satwa or to stay in balance.

• Concentrate on Muladhara chakra (sacral root).

• Chant LAM reducing the respiratory rate to 2-4 per minute.

Mantra: “On the first day, control (riding) your desires (bull) by balancing (Trishul) the mind with cool thoughts (moon) and practicing detachment (lotus). This can be assisted by chanting LAM focusing on sacral chakra.”

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