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I would associate your blurred vision with high blood pressure. There is a medical condition called as hypertensive retinopathy which occurs due inadequately controlled blood pressure. Your eye specialist can see the retina and confirm it. Apart from your blood pressure medications, following measures would be helpful to further control your blood pressure;
a) Patients with the hypertension do need to restrict table salt which is considered as a prime regulator of the blood pressure. It is advised to reduce sodium intake to no more than 2.4 g sodium or 6 g sodium chloride per day. It is also advised that adequate intake of dietary potassium (approximately 90 mmol/d), helps in reducing the blood pressure.
b) Following dietary and nutrition measure are strongly recommended to bring down the blood pressure;
A diet rich in fruits, vegetables, and low-fat dairy products may lower blood pressure by 10-16 mm Hg.
Oral potassium supplement may lower both systolic and diastolic pressure. Calcium and magnesium supplements, too, decrease the in blood pressure.
Low alcohol consumption lowers the blood pressure.
Stop smoking, if you do and reducing intake of dietary saturated fat and cholesterol benefits tremendously in overall cardiovascular health.
Following reduce and regulate the blood pressure:
2) Fish oil
3) Herb Hawthorn
4) Coenzyme Q10 (CoQ10).
An uncontrolled blood pressure may also affect kidneys and heart. So your primary care physician should get blood work and echocardiography to evaluate this. The aliments of kidney and heart can retain or accumulate fluid in the body which may cause increase in body weight and swelling in lower limbs.
The swelling in the knees may be unrelated to blood pressure. It can be due to knee osteoarthritis, which is age related joint change and also termed degenerative or wear and tear arthritis. Overweight people may have more extensive changes in knees as these are weight bearing joints.
Apart from the analgesic; following would help you, meanwhile for the knee pain and swelling;
1) Physical therapy; this is the mainstay of the management of the osteoarthritis. Stretching exercises, strengthening exercises, mild weight bearing exercises, swimming on the week-ends etc would be helpful.
2) Deep electrotherapy; this entails going to physical therapy center and take care of specific issues which are more painful.
3) Glucosamine and chondroitin supplements
4) Diacerin too can be tried which suppose to regenerate the cartilage.
5) Local analgesic sprays
6) Mild massage
7) Consideration of hyaluronic acid injection in the joints which are more painful. Some physician may inject steroid too for the pain relief.
8) Warm shower in morning would open up the joints.
9) Capsaicin (Zostrix, ArthriCare) is an irritant derived from chili peppers that provide relief by depleting a chemical that transmits pain from nerve endings. Various strengths are available without prescription. (It causes a burning sensation thus one has to be careful while applying and should wear a disposable plastic glove).
10) Acupuncture; most popular forms of alternative or complementary medicine, particularly for pain relief.
11) Analgesic patches too are available for the pain relief.
These are the exercise resources for the knee. You can pick the exercises which suits you;
Since overweight is an issue; long term is achieved by weight reduction. High impact exercises should be avoided; like kneeling and bending. These supplements help in rebuild the cartilage;
1) Omega-3 fatty acids, such as fish oil,
2) SAMe (s-adenosyl-L-methionine), 600 mg daily.
3) Glucosamine/chondroitin, 1,500 mg daily.
4) Bromelain, 250 mg twice a day.
Following homeopathic remedies are suppose to help;
Following herbs are suppose to be good;
2) Cat's claw
3) Willow bark
5) Devil's claw
To summarize: Following measures would be helpful in the knee arthritis;
1) Knee care in the activities of daily living. Few simple self-care measures can be remarkably effective in ending pain cycle.
a) Avoid prolonged standing or walking or sitting with joint in a single position.
b) whenever you sit, keep the knee stretched and fold them intermittently.
c) Squatting, sitting cross legged should not be done.
d) Avoid climbing stairs.
e) Avoid sitting legs unsupported or hanging.
f) Reduce weight if over weight/obese.
2) Rest: Taking a break from your normal activities reduces repetitive strain on your knee, gives the time to heal and helps prevent further damage.
3) Anti-inflammatory medications
4) Physical therapy; the goal of physical therapy is to strengthen the muscles around your knee and help you regain knee stability. Ideal is supervised physical therapy. Stretching exercises are also part of the physical therapy regime.
5) Orthotics and bracing.
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