From Pain to Plate: Nutritional Strategies for Carpal Tunnel Relief

Carpal tunnel syndrome (CTS) is a common condition that affects many people, especially those engaged in repetitive wrist movements. While treatments often include physical therapy and medical interventions, dietary choices can also play a crucial role in managing symptoms and promoting recovery. In this blog post, we’ll explore nutritional strategies specifically tailored for individuals in India dealing with carpal tunnel syndrome.

Understanding Carpal Tunnel Syndrome

Carpal tunnel syndrome occurs when the median nerve, running through the wrist, becomes compressed. Common symptoms include:

- Numbness or tingling in the fingers

- Pain radiating up the arm

- Weakness in the hand

Several factors can contribute to CTS, including repetitive hand movements, wrist injuries, and underlying health conditions.

Nutritional Strategies for Relief

 1. Anti-Inflammatory Foods

Incorporating anti-inflammatory foods into your diet can help reduce swelling and discomfort associated with carpal tunnel syndrome.

Key Indian Foods:

- Turmeric: Known for its anti-inflammatory properties, turmeric can be added to various dishes. Use it in curries, lentils, or milk.

- Ginger: Another powerful anti-inflammatory, ginger can be consumed fresh, in teas, or as a spice in cooking.

- Methi (Fenugreek) Seeds: These seeds can help reduce inflammation and can be included in parathas or as a spice in curries.

 2. Nuts and Seeds

Nuts and seeds are rich in healthy fats, magnesium, and vitamin E, all of which can support nerve health.

Key Options:

- Almonds: A great source of vitamin E, almonds can be eaten raw or added to sweets and snacks.

- Walnuts:These nuts contain omega-3 fatty acids and can be enjoyed in salads or as a snack.

- Flaxseeds and Chia Seeds: High in omega-3s, these can be added to smoothies or yogurt.

 3. Fruits and Vegetables

A diet rich in fruits and vegetables provides essential vitamins and minerals that support overall health and reduce inflammation.

Key Choices:

- Leafy Greens: Spinach, mustard greens (sarson), and fenugreek leaves (methi) are excellent options.

- Berries: If available, strawberries and blueberries are packed with antioxidants.

- Papaya:This tropical fruit is not only delicious but also contains enzymes that may help reduce inflammation.

 4. Whole Grains

Whole grains are a good source of fiber and nutrients that support overall health.

Key Options:

- Brown Rice: A healthier alternative to white rice, it can be paired with vegetables or lentils.

- Whole Wheat: Use whole wheat flour for chapatis and other baked goods.

- Millets:Varieties like bajra and jowar are nutritious and can be made into rotis or porridge.

 5. Hydration

Staying hydrated is essential for overall health and can help manage symptoms of CTS. 

Tip: Drink plenty of water throughout the day. Herbal teas, such as ginger or chamomile, can also be beneficial.

6. Avoiding Trigger Foods

Certain foods can aggravate inflammation and worsen carpal tunnel symptoms. It's wise to limit or avoid:

- Processed Foods: These often contain unhealthy fats and sugars.

- Refined Sugars: Sweets and sugary drinks can promote inflammation.

- Excessive Salt: High sodium intake can lead to water retention and swelling.

 Sample Indian Meal Plan for Carpal Tunnel Relief

Here’s a simple meal plan incorporating the nutritional strategies mentioned:

 Breakfast

- Oats porridge with chopped almonds and a pinch of turmeric. OR veg dalia 

- A glass of warm water with lemon.

 Snack/ Mid morning 

- A bowl of mixed fruit salad with papaya, banana, and berries (if available).

 Lunch

- Chapattis or Brown rice with a side of dal (lentils) cooked with turmeric and ginger, and saag (leafy greens).

Snack

- Roasted chickpeas or methi paratha with yogurt.

 Dinner

- Grilled fish or chicken marinated with ginger and garlic or dal , served with steamed vegetables and whole wheat chapati 

Conclusion

While managing carpal tunnel syndrome often requires a comprehensive approach, incorporating specific nutritional strategies can significantly alleviate symptoms and promote recovery. By focusing on anti-inflammatory foods, ensuring adequate intake of essential vitamins and minerals, and staying hydrated, you can take proactive steps toward better wrist health.

Consult with a healthcare professional or a Qualified dietitian for personalized advice and treatment options. With the right diet and care, you can transform your pain into relief and enjoy a healthier, more comfortable life!

"Soothing Bites : Foods to Heal Canker Sores"

Canker sores, those pesky and painful lesions in the mouth, can make eating, drinking, and even talking uncomfortable. While they usually heal on their own, certain foods can help soothe the pain and promote healing. In this blog post, we’ll explore the best foods to eat when dealing with canker sores and some delicious recipes to try!

Understanding Canker Sores

Canker sores are small, shallow ulcers that can appear on the inside of your cheeks, gums, or tongue. They can be triggered by various factors, including stress, certain foods, hormonal changes, and underlying health issues. While they are not contagious, they can be quite irritating.

Foods That Help Heal Canker Sores

 1. Yogurt

Yogurt is rich in probiotics, which can help restore the balance of good bacteria in your mouth and aid in healing. The cool texture can also provide soothing relief.

Tip: Opt for plain yogurt without added sugars, as sugar can irritate the sores.

 2. Smoothies

Smoothies are a great way to pack in nutrients without irritating your mouth. Use soft fruits like bananas and berries, and blend them with yogurt or almond milk for a refreshing drink.

**Recipe Idea:**  

**Berry Banana Smoothie**  

- 1 ripe banana  

- 1 cup mixed berries (fresh or frozen)  

- 1 cup plain yogurt or almond milk  

- Blend until smooth and enjoy!

3. Oatmeal

Oatmeal is a gentle food that’s easy to swallow and offers a good source of fiber. It’s also warm and comforting, making it an excellent choice when you have canker sores.

Tip: Avoid adding citrus fruits or honey if they cause irritation.

 4. Soft Fruits

Soft fruits like bananas, melons, and applesauce are easy to eat and can provide essential vitamins. They are also hydrating, which is crucial for healing.

**Tip:** Steer clear of acidic fruits like oranges and pineapples, which can aggravate the sores.

5. Broths and Soups

Warm (but not hot) broths and soups can be soothing while providing nutrients. Opt for chicken or vegetable broth for hydration without irritation.

**Recipe Idea:**  

**Simple Chicken Broth**  

- 1 whole chicken  

- 2 carrots, chopped  

- 2 celery stalks, chopped  

- Salt and pepper to taste  

- Simmer all ingredients in water for 1-2 hours, strain, and enjoy!

6. Mashed Potatoes

Mashed potatoes are creamy and easy to eat, making them an excellent comfort food. Add some butter or olive oil for flavor without adding irritants.

 7. Honey

Honey has natural antibacterial properties and can help soothe the pain of canker sores. It can also promote healing when applied directly to the sore.

Tip: Use honey as a topping for yogurt or oatmeal for added flavor and benefits.

 8. Green Vegetables

Cooked greens like spinach and kale are gentle on the mouth and packed with vitamins and minerals that support healing.

**Recipe Idea:**  

**Steamed Spinach**  

- 2 cups fresh spinach  

- Steam until wilted, then drizzle with olive oil and a pinch of salt.

 Foods to Avoid

While some foods can help, others can aggravate canker sores. Here are some to avoid:

- **Citrus Fruits:** Oranges, lemons, and grapefruits can irritate the sores.

- **Spicy Foods:** Spices can cause further discomfort.

- **Crunchy or Hard Foods:** Chips and nuts can scratch and worsen the pain.

- **Sugary Foods:** Sweets can promote irritation and slow healing.

Conclusion

Canker sores can be a painful nuisance, but with the right food choices, you can soothe the discomfort and promote healing. Incorporate these gentle and nourishing foods into your diet, and consider trying the recipes provided for a comforting meal. 

Remember, if your canker sores persist or become extremely painful, it’s essential to consult a healthcare professional for further evaluation and treatment. Here's to a speedy recovery and delicious, soothing bites!

CANCER: Me as a Student - Dietitian - Patient - Survivor

This is a blog post written by me from different perspectives of the disease. 

The word CANCER was not new to me. I knew a little about it when I was studying , I watched patients during my internship, few of them died, few survived. During my job as a diet consultant in a multi specialty hospital, saw many patients, tried to ease the pain and the effects before, during and after the treatment. 

Then I had it too. I was not afraid or puzzled. I was somewhat confident. What I learnt from life-

Cancer is unavoidable. I don't think it can be prevented but few habits can definitely prevent it or lower the risk.

1. Listen to your body.  It's your body. You know what's going on inside . If there is sudden change in weight, stamina, urine, stool, skin, hunger, thirst, your feelings, your thoughts, your movements, be vigilant and find the root cause of it.

2. Watch your weight. If you are overweight or underweight , find the cause for it. Try to be in healthy limits. In my case I was in a healthy weight range (55 kgs) when cancer hit me it shoot up to 65 kgs. I knew the reason. 

Kalpa vriksha aka COCONUT "Tree that provides the necessities of life"

Coconut tree is "kalpavriksha ", worshipped since time immemorial. Kalp vriksha means the tree that provides the necessity of life. Found in the coastal areas of India, the whole tree gives its parts to fulfil the human requirements. Fresh coconut water quenches the thirst of the people living in the sea shores. The fresh coconut provides sufficient energy to curb the hunger. The leaves, coir , etc are used for various purposes. Therefore it is offered to God. Without it the religious ceremonies are incomplete. Fishermen offer coconut to the sea to celebrate the beginning of the new fishing season. Coconut is placed over the opening of the pot to represent a womb in weddings. Its offered to God before any new initiative .

The grated fresh coconut is used in the preparation of puddings, sweets , curries and chutneys.

Coconut water is a mild diuretic, with honey it is a tonic. It is good for urinary disease, nervousness and fatigue.

A mature coconut may yield upto 225 gms of kernel supplying about 1000 kcal.

A tender coconut yields 500 to 900 ml water. It is the safest and sterile drink as it is not likely to be contaminated with pathogens. During the second world war, coconut water was used as intravenous fluid.

The pH of coconut water is 5.6 and the nutrients present are glucose, fructose, inulin , proteins, potassium, sodium, calcium, magnesium, chloride, phosphate and sulphate.

Typhoid fever and other salmonella infections have been traced occasionally to desiccated coconut. Dried kernels are less likely to be contaminated.

Dried coconut contains about 70% oil. It is easily digested. It is extensively used in the preparation of vegetable ghee and margarine. Unlike other oils, coconut oil is poor in unsaturated acids. Oleic and linoleic acids are present only to the extent of about 9 per cent. The remaining 91 percent is saturated fatty acids characterised by the presence of a high percentage of lauric and myristic acids.

Coconut cake is a byproduct of the coconut oil industry. It provides a nutritious mash for feeding milch cows to increase the quantity and nutritive value of milk.

Coconut sap or juice is obtained by tapping or cutting the stalk of the young flower bunches of coconut. The main constituent of the fresh juice is sucrose. It is rich in ascorbic acid. The juice in the fresh state is sweet toddy or neera.

Make a natural coloured lip gloss by mixing coconut oil, almond oil , beeswax, cocoa butter , and red food colouring.

Apply moisturiser made of coconut oil. It is a superb moisturiser for dry skin and mature skin. Coconut milk is a good soak up moisturising lotion.

Coconut may cause allergies.

Eat coconut in moderation, it is rich in energy. Drink coconut water to hydrate yourself but like all the food it has to be consumed in moderation. Drinking coconut water after sunset might increase water retention creating a feeling of heaviness. Enjoy eating coconut chutney, nariyal ladoo , daab chingri , etc but too much of it might help in weight gain .

 Here comes the monsoon and the fear of Scrub Typhus

It was August 2023.

I went to Rishikesh , a beautiful Uttarakhand town.

Not for a vacation, my in-laws were ill and unfortunately they passed away within a short span of time. As a daughter in law I was a part of the rites and duties. We came back after a fortnight or so. I had a fever with chills and malaise. (due to stress and agony, as everyone thought including me). As I had recovered from cancer a year ago, it seemed normal. Fever was over in days but I was too lethargic (might be viral). I started having confusion, digestive issues, breathing issues and so on . (I don’t even have the memory of the 10 days) .Was hospitalized, got tests done, detected low platelets. (might be Dengue). My friend who herself is a doctor came to visit me, she thought of something. I was referred to Max ( a super specialty hospital).  Everything was low in the parameters including the chances of survival.  The villain was SCRUB TYPHUS

Scrub Typhus

a bacterial infection caused by Orientia tsutsugamushi (from Japanese tsutsuga meaning "illness", and mushi meaning "insect") and transmitted by chigger bites (mite larvae)

I survived it because the doctors and my lady luck were at the same side. A delay of a day, my family members would have been writing an obituary speech.

A word of note to you-

• Just avoid the places with good vegetation, the green hill stations during the monsoons.
• Check with a doctor if you are having a fever after travelling.
• Do Not self medicate.
• Always check for rashes, bruises or cuts in any part of your body. Mine was in the thigh area . The bite mark is not painful at all. 

Good nutrition really helps.

There was fluid in the liver, lungs , and heart. It got treated.

Good nutrition gives you immunity.

Avoiding processed , packaged foods, deep fried foods really helps.

Proper hydration (at least 2.5 ltr plain water, no juices, smoothies, shakes) , (I avoid rather abstain myself from alcohol, soft drinks, energy drinks ) and daily exercises (about 45 minutes) protects us during these critical times.

Accidental health problems can arise to anybody but it can be overcome with positive thinking and easy ways. (people make a joke about me that being a dietitian I had cancer and scrub typhus but being a dietitian has helped me overcome the problem, BE POSITIVE!!

I might not have reduced the increased weight (thanks to the cocktail of steroids) but my HbA1C , thyroid, blood sugar, blood pressure are perfectly fine till now.

  Just believe in Yourself. Life is standing near an ocean, positive and negative waves will come, some will be big which will make you wet and some small which will touch your feet and go.

Prepare yourself with proper nutrition, health and hygiene and live. 

My life is too spicy..

My life is too spicy..

I am proud to be Indian. I like to follow the age old traditions and culture of my country. I am not orthodox and don't believe in dogmas but residing in various areas of my country and being a part of the modern world I like to connect the traditions and beliefs with science.

India is full of spices. Most of the spices of the world are grown here . And I like to use the spices in my daily routine.

My day starts with a big glass of lukewarm water with turmeric , then a cup of hot tea in which ginger , tulsi , liquorice , black pepper is added. Breakfast consists of rice flakes or semolina tempered with curry leaves , mustard seeds , turmeric , chat masala 

Lunch is pulses tempered with cumin seeds , asafoetida, bay leaf, turmeric , red chilli powder and garam masala. Green leafy vegetable sautéed with a little bit of poppy seeds. Vegetable curry added with garlic , ginger , cumin turmeric powder , coriander powder , chilli powder , dry mango. Hand rolled breads in which caraway seeds are added.Curd has a pinch of black salt .

Evenings are mostly khakra or roasted puff rice or rice flakes or dhokla tempered with curry leaves , mustard seeds , asafoetida, turmeric powder , red chillies , fenugreek seeds.

Dinner non veg or cottage cheese or pulse preparation and the spices used are green cardamom, cinnamon, black cardamom,cloves , black pepper, star anise , bay leaf, nutmeg, mace , all spice , cumin , ginger, garlic, turmeric, coriander, aniseed, caraway . Along with rice or hand rolled breads with a vegetable sautéed or curried with turmeric, coriander , garam masala and chillies. Dessert is mostly pudding seasoned with bay leaf and green cardamom and saffron. Mouth freshener is fennel seeds.

Day ends with a glass of cumin and fennel water.

So am I not a spicy Indian.

These are the normal days , but ..if I have a tooth ache, I chew cloves or a garlic pod and the toothache is gone. If I feel tired or hurt I drink a glass of lukewarm milk with turmeric powder . If someone is having menstrual cramps , I suggest having a cup of ginger tea. If the stomach is not cleared the next morning I will chew curry leaves,  the list is endless. Indian households have so many jars of a variety of spices which are used as remedies for health problems.

Proud to be so spicy.

Fats and Oils are villainous. Really? ?

Fats and Oils are villainous. Really? ?

Your friend comes to meet you after a long time , Stares at you and says "Oh my God ! You have put on weight, you are looking fat !!" You start having sleepless nights, always checking the weighing machine, watching yourself in the mirror, start eating boiled foods , skipping meals , follow the health ads on TV ,buy fancy products, start exercising vigorously ,but do you really get lean ? Actually no, we become frustrated till the end of the week and again start eating junks to curb the frustration. It happens to most of us . These words pierce ourselves. The major step we take is to stop having fats completely .

But is the FAT the real villain ? Actually NO , there are many different ways to gain 'this weight' which we don't notice. Let's have a look at the Fats , Oils, the super villain Cholesterol and then decide whether fat is villainous or not .

First let's understand what is Fats and Oils?

Fats are made up of carbon, hydrogen and oxygen just like carbohydrates but they supply more energy than carbs because they contain proportionately more combustible carbon and hydrogen.

How many types of fats and oils do we consume daily?

=Margarine -

A cheap substitute for butter. Prepared from vegetable oil such as coconut oil, groundnut oil , soybean oil , the heated oil being churned with skim milk. Yellow colour is added to match the hue of butter. Used in making bakery products. Calorie wise the same as butter. It can be fortified with vitamins.

= Groundnut oil - Peanut oil or Arachis oil.

If the nuts are not properly stored it gets contaminated with Aspergillus flavus fungus. Consumption of oil from fungal infected nuts is a health hazard and it is advisable to avoid its use. Used as a cooking oil.

= Rapeseed -Mustard oil - 

used as a cooking oil and frying oil.

=Sesame or Gingelly oil - 

one of the oldest oilseeds of the world. Used in cooking or as a flavour enhancer.

=Cottonseed oil -

It's a byproduct of ginning cotton

=Coconut oil -

There is a message circulating in social media about the benefits of the oil. Basically circulated by "health gurus "is having adverse effects on health. Poor in unsaturated acids . More easily absorbed than any other oil.

=Sunflower oil - 

as a frying oil. Contains MUFA /PUFA mixture.

=Soybean oil - 

As a cooking oil

=Niger seed oil -

 rich in protein. Used as a food oil to cure many diseases. Can cause bleeding disorders and is not advisable for pregnant women.

= Rice bran oil - 

high smoking point , used for deep frying and cooking

= Palm oil- 

Good source of Vitamin A. Used as a cooking oil , not expensive so used in preparation of street foods.

= Corn oil - 

cooking oil and valuable frying oil. Used in margarine.

=Safflower oil - 

used as salad oil or cooking oil

=Olive oil -

The most favourite oil of this decade . It's NOT a "low fat oil." So consumption of fried foods with this oil is not a good choice.

=Canola oil- 

high smoking point so used for frying and cooking.

=Macadamia oil - 

for frying or as a salad oil.

=Avocado oil - 

used in some dishes and as a cooking oil.

= Hemp oil -

low smoke point. Not suitable for frying, used as a food oil and in supplements.

=Walnut oil -

Used for pan frying or as a salad dressing

=Butter - animal protein. 

Made from milk fats. Because of its pleasing flavour and good shortening qualities has for a long time been an important fat component in food preparation.

=Lard - 

animal fat from hogs. Low cost , flavourful substitute for butter in frying and baking.

=Hydrogenated oil - 

high smoking point. Good shortening powers. Used for frying.

 Confused !! which oil to use ?

The fat and calorie content of all the fats and oils are almost the same . It's unwise to think that if you are eating lots of fries with heart healthy oil , it would be a good idea. No it's not. 2 to 3 tsp of fats and oil are sufficient for our daily requirement. We always look into the visible oil in the food. We get the visible fat or free fats from eggs , cream , milk , butter , clarified butter , meat , fish, nuts , oilseeds, etc. But many of us don't know we consume invisible fat which is found in cell walls of cereals , pulses , tubers and vegetables.

But....

Fat is not a villain . We need fat in our daily lives. In colder countries fat requirement is more than in tropical countries.  15% to 30% of our calorie requirement is from fat.

♥️Fats provide an energy reserve. ♥️Fats serves as a vehicle for the absorption of fat soluble vitamins A , D , E , K

♥️ Fats supply essential fatty acids which are necessary for growth and function.

♥️If fats and carbs are used properly, protein will do its own work.

♥️ Fats help in producing a sense of satiety means we do not feel hungry.

Same with CHOLESTEROL

The adverse publicity has made it a villain which must be eliminated to avoid heart attack.

♠️Cholesterol is essential for life.

♠️ For the formation of cell membranes.

♠️Precursor of steroid hormones and bile salts.

♠️ Progesterone, possibly Estrogen and the Adrenal corticoids are derived from cholesterol.

♠️In the blood, cholesterol plays an important role in the transport of fatty acids.

"Please don't avoid fats . Instead, stop eating processed ,packaged and artificially flavoured foods . Eat a balanced diet rich in natural foods ".