Is Office Syndrome Treatable?

Is Office Syndrome Treatable?

Repost from our partner Bumrungrad International Hospital

Office syndrome is a common problem found amongst office workers, those who regularly use a desktop or laptop computer, and those who frequently use tablets or smartphones. Prolonged work along with physical stress and poor postures such as standing or sitting hunched over, keeping the head tilted down, or pushing the shoulders forward can produce aches and pains throughout the body. If we do not correct or treat these pains, they can increase and become chronic issues.

What are some of the symptoms of office syndrome?
Some symptoms include:

    • Shoulder, neck, and back pain
    • Headaches
    • Wrist and finger pain
    • Numbness of the fingers, hands, or arms
    • Back and hip stiffness
    • Abdominal pain, discomfort
    • Sleeplessness
    • Dry eyes

Stretches to prevent office syndrome:

Treating Office Syndrome
Office syndrome is treatable and curable but requires the full cooperation of the patient. This includes making lifestyle adjustments both in the workplace and at home. Oftentimes it also requires assistance from a specialist who can properly guide the patient through the necessary steps towards recovery. There are a variety of treatment options for office syndrome, which include:

Dry needling, which is the medical procedure that involves inserting needles into the areas of muscle spasm that are in pain. The goal is to target the myofascial trigger points to alleviate the pain and make the muscles relax.

Peripheral magnetic stimulation (PMS) or transcutaneous magnetic stimulation (TMS)  is a non-invasive method in which a rapidly pulsed, high-intensity magnetic field is delivered to the pained area. This helps to reduce pain and muscle spasms, and strengthen the affected muscle.

Physical therapy (PT) and exercises are the classic method. With assistance from Bumrungrad’s physical therapists and physical trainers, individualized physical therapy and exercise programs can be developed to help speed up the treatment phase and recovery process, as well as ensure that recurrence won’t be a concern.

The Sports Medicine & Lifestyle Center at Bumrungrad International Hospital offers treatment programs that are designed to suit each individual patient’s needs. The team of experienced specialists offer quality services to help ensure that you can return to a normal life without having to worry about your  office syndrome symptoms. Contact us now to make your appointment for Office Syndrome at Bumrungrad. We are here to help 

Need a PCR Test to fly internationally? Don’t worry, we’ve got you covered!

Need a PCR Test to fly internationally? Don’t worry, we’ve got you covered!

– by Pirunrat Nathchayanonth (Yori), Client Coordinator


Times have changed for how to plan a trip asCOVID requirements dominate most destinations. I used to be able to just grab my bag, book a last-minute ticket and hop on the plane with little to worry about. Right now? Even going to visit my family who lives a 30 minutesdrive away needs a strategy!
These days your passport and your visa can only get you so far. Without a COVIDnegative result, it is almost impossible for you to go anywhere! And with the situation in Thailand now where new cases rising every day, getting your PCR testing appointment could be a challenge– many hospitals have stopped offering the service due to overwhelm of the system.


Don’t worry about it though, we are here to help! If you allow us enough time (preferably 3-5 days before you need the results), we can help you plan your well-time appointment that guarantees your result will be ready at your expected time frame. This varies between 24-48hours. We don’t need much, just your passport copy and flight booking, so you can leave your worries with us and continue on packing your bags and prepping your shopping list. All you need to do is show up for your test.


However, with the current climate, we can only accommodate the international flight travelers only, and forsame day test results we require a little more advance booking of at least 7 days. For more information about pricing and turnaround time, kindly drop us a message or an email, we are here to help! 😊

Learn What You Can Do to Prevent Lung Cancer

Learn What You Can Do to Prevent Lung Cancer

– by Pirunrat Nathchayanonth (Yori), Client Coordinator

In recognition of World Lung Cancer Day, we are sharing easy ways for you to recognize the diseaseat the early stage.

Lung cancer is cancer that forms in tissues of the lung, usually in the cells that line the air passages. It is the leading cause of cancer death in both men and women. There are two main types: small cell lung cancer and non-small cell lung cancer. These two types grow differently and are treated differently.”-Medline Plus (National Library of Medicine)
I know that many people, like me, when we talk about Lung cancer we normally and oftentimes thing about heavy smokers or second hand smokers, but believe it or not, those are not the only causes for this.
So what are other factors that can cause this kind of disease?
American Cancer Society – “Lung cancer in people who don’t smoke can be caused by exposure to radon, secondhand smoke, air pollution, or other factors. Workplace exposures to asbestos, diesel exhaust or certain other chemicals can also cause lung cancers in some people who don’t smoke.
A small portion of lung cancers develop in people with no known risk factors for the disease. Some of these might just be random events that don’t have an outside cause, but others might be due to factors that we don’t yet know about.
Lung cancers in people who don’t smoke are often different from those that occur in people who do. They tend to develop in younger people and often have certain gene changes that are different from those in tumors found in people who smoke. In some cases, these gene changes can be used to guide treatment.

No worries if you’re not familiar with a few words in there. Read below to find out more about them

Radon is natural radioactive gas that comes from tiny amounts of uranium present in all rocks and soils. It can sometimes be found in buildings.
If radon is breathed in, it can damage your lungs, particularly if you’re a smoker. Radon gas causes a small number of lung cancer deaths in England.

Occupational Exposure and Pollution
Exposure to certain chemicals and substances which are used in several occupations and industries may increase your risk of developing lung cancer. These chemicals and substances include:

• Arsenic – a known human carcinogen associated with skin, lung, bladder, kidney, and liver cancer. A new study that replicates how humans are exposed to arsenic through their whole lifetime found that mice exposed to low concentrations of arsenic in drinking water developed lung cancer. The concentrations in the drinking water given to the mice were similar to what humans, who use water from contaminated wells, might consume.
• Asbestos – a fiber-like material that was once used in buildings for insulation, flooring and roofing. Its use has been fully banned in the UK since 1999.While asbestos can be dangerous, it’s not harmful if left alone. But if material containing asbestos is damaged, it can release a fine dust that contains asbestos fibers.When the dust is breathed in, the asbestos fibers enter the lungs and can gradually damage them over time.
• Beryllium – Direct contact with beryllium fumes or dusts may injure the exposed areas of the body, such as the eyes or the skin. Skin sensitization may also occur. Beryllium is also a known cancer-causing substance, with higher levels of lung cancer being reported.
• Cadmium – Highly toxic and exposure is known to cause cancer. It is primarily associated with human lung, prostate, and kidney cancers, and recently pancreatic cancer. It has also been associated with cancers of the breast and urinary bladder.
• Coal and Coke fumes – Coke oven emissions come from large ovens that are used to heat coal to produce coke, which is used to manufacture iron and steel. The emissions are complex mixtures of dust, vapors, and gases that typically include carcinogens such as cadmium and arsenic.
• Silica – Silica is a substance naturally found in certain types of stone, rock, sand and clay. Working with these materials can create a very fine dust that can be easily inhaled.Once inside the lungs, it causes swelling (inflammation) and gradually leads to areas of hardened and scarred lung tissue (fibrosis). Lung tissue that’s scarred in this way doesn’t function properly.
• Nickel – Skin complaints and respiratory effects have been reported from exposure to nickel. Studies have reported an increased risk of lung and nasal cancers from exposure to nickel refinery dusts and nickel subsulfide. Nickel compounds are classified as Group 1 carcinogen by the IARC, meaning they are carcinogenic to humans.
Research also suggests that being exposed to diesel fumes over many years increases your risk of developing lung cancer. One study has shown your risk of developing lung cancer increases by around 33% if you live in an area with high levels of nitrogen oxide gases (mostly produced by cars and other vehicles).
Signs and symptoms of lung cancer
Mayo clinic – “Lung cancer typically doesn’t cause signs and symptoms in its earliest stages. Signs and symptoms of lung cancer typically occur when the disease is advanced.
1. A new cough that doesn’t go away
2. Coughing up blood, even a small amount
3. Shortness of breath
4. Chest pain
5. Hoarseness
6. Losing weight without trying
7. Bone pain
8. Headache

Risk factors for lung cancer
The American Lung Association says that men who smoke are 23 times more likely to develop lung cancer than nonsmokers. However, lung cancer in never-smokers is the seventh most common cancer worldwide.
Although lung cancer is the leading cause of cancer death among men and women in the United States, female smokers appear to be at increased risk. After controlling for the number of cigarettes smoked, female sex imparts a significant, independent risk for most histologic types of lung cancer.


Most people diagnosed with lung cancer are 65 or older; a very small number of people diagnosed are younger than 45. The average age of people when diagnosed is about 70. Lung cancer is by far the leading cause of cancer death among both men and women, making up almost 25% of all cancer deaths.
If you are in doubt about your health, we strongly suggest that you have your health checked on regular basis and consult your doctor about this. If you have family history of cancer, or suspect that you are in high risk category, our partner also offers genetic screening as well. And if you don’t know where to start, drop us a message or email,we’re more than happy to assist😊

References
https://medlineplus.gov/lungcancer.html

https://www.mayoclinic.org/diseases-conditions/lung-cancer/symptoms-causes/syc-20374620

https://www.cancer.org/cancer/lung-cancer/causes-risks-prevention/what-causes.html

https://www.nhs.uk/conditions/lung-cancer/causes/

https://www.nhs.uk/conditions/asbestosis/

https://www.nhs.uk/conditions/silicosis/

https://www.niehs.nih.gov/health/topics/agents/arsenic/index.cfm

https://www.ccohs.ca/oshanswers/diseases/beryllium.html

https://progressreport.cancer.gov/prevention/cadmium#:~:text=Cadmium%20and%20its%20compounds%20are,the%20breast%20and%20urinary%20bladder.

https://www.cancer.gov/about-cancer/causes-prevention/risk/substances/coke-oven#:~:text=Coke%20oven%20emissions%20come%20from,such%20as%20cadmium%20and%20arsenic.

https://roadmaponcarcinogens.eu › nickel

https://www.dana-farber.org/health-library/articles/cancer-mythbusters-smoking-and-lung-cancer/#:~:text=The%20American%20Lung%20Association%20says,seventh%20most%20common%20cancer%20worldwide.

https://pubmed.ncbi.nlm.nih.gov/15217534/#:~:text=Although%20lung%20cancer%20is%20the,histologic%20types%20of%20lung%20cancer.

https://www.michigan.gov/egle/0,9429,7-135-3312_4120_4196-11722–,00.html

Home Isolation as a Solution for the current Covid 19 Situation in Thailand

Home Isolation as a Solution for the current Covid 19 Situation in Thailand

– by Pirunrat Nathchayanonth (Yori), Client Coordinator

The healthcare system is overwhelmed. The 4th wave of this COVID-19 in Thailand is unprecedented and has been the most damaging. The last 3 weeks have not been easy for anyone, particularly those who have been detected with Covid-19.
Hospitals are out of beds and there’s a long waiting list everywhere. Many people who tested positive now are asymptomatic, so to lessen the load on the healthcare system and the medical staff, the new law was put in place – home isolation is allowed.

Can people who are Covid positive really live under the same roof with those who are not? Yes! I’m telling you it is possible.
Last year, my flat mate was covid positive. We didn’t know what to do, because the hospital didn’t have a bed for her nor an ambulance to come pick her up so we had to remain in the same apartment for a week. She was asymptomatic.

Luckily, we only had to share the common living area such as the dining room and a kitchen as we both had our own rooms. We were told to completely isolate, meaning she cannot leave her room at all. What we did in that week was, if I was inside my room, she can come out briefly for whatever she may need and vice-versa. Whenever she finished in the kitchen, I would wipe every surface she might have touched such as the fridge handle, sink faucet, stove knobs and light switches with Clorox. You can never be too careful. Other than that, I was still exercising in the living room and we used the same washing machine for our laundry. To date, I’m still covid free.
Now, let’s go back to the subject. How do you home isolate?

Self-Isolation

1) Separate yourself in one part of the house. Stay in your own room if possible. If you’re sharing a room/apartment, stay at least 1-2m away from each other. This includes separate items for personal use.
2) Items you will need just for you – bin with a lid, box of tissues, towel, alcohol, gloves, mask, thermometer, oximeter, ice or cold pads, water, medicines, personal items.
3) Wear your mask all the time.

4) Wash your hands, and keep them away from your face.
5) If possible, assign a person who can help take care of you. Someone who’s healthy, proficient and communicates well. He or she must wear gloves and a mask before taking or giving any items from and to the positive person.
6) If you’re too tired, skip the shower and just use wet cloth to clean yourself. It is not recommended to wash and submerge yourself under the water, it makes your lungs work too hard.
7) In a big family, it is very easy for contagious diseases to be widespread. Sanitize the areas like staircase and bathroom bars, knobs often.
8) Drink 2 liters of water per day, avg 1 glass/hour. Always keep yourself hydrated, unless the doctor suggests otherwise. No alcohol, caffeine drinks.
9) Sleep well and rest fully.
10) Minimize your screen time.
11) Manage your emotions and do something that will lift up your energy levels.
12) If you have difficulty in breathing after rolling over, difficulty in keeping food down, having high fever or low oxygen, proceed to the ER at the nearest hospital.

For positive patients who require a bed, we strongly suggest that you contact your primary facility or doctor immediately. Please also register yourself through 1668 and 1330 or any other government organizations to coordinate your care as soon as possible.

Keep well and safe everyone. We will get through this together! For emotional support, feel free to contact us anytime!

Happy Healthy Vision Month!

Happy Healthy Vision Month!

– by Pirunrat Nathchayanonth (Yori), Client Coordinator

When we talk about a “Check-up” what do you normally think about?

I’ll be honest, for me, it would mean drawing blood and peeing in the cup. Chest x-ray and a consultation where the doctor would just tell me if there’s something that I should be worry about. And again, I wasn’t even thinking about having my eyes checked along with it. And usually the basic health check-up doesn’t include that. I only go and see an ophthalmologist when I need a new prescription because my glasses are getting blurry again. Is anyone like me?

But you definitely should get your eyes checkedproperly and as regularly as you’re getting your general health checks. Not only because these are delicate organs that’s used constantly throughout the day from the moment you open them up until the time you shut them again, but also because “Some eye diseases may not show any symptoms at the initial stage such as glaucoma, Macular degeneration, Diabetic Retinopathy.” – Phyathai Hospital

What are they? And how do you know if you have it or are at risk?

Glaucoma is a common eye condition where the optic nerve, which connects the eye to the brain, becomes damaged. It’s usually caused by fluid building up in the front part of the eye, which increases pressure inside the eye. Glaucoma can lead to loss of vision if it’s not diagnosed and treated early.

Symptoms of Glaucoma

A. Intense eye pain
B. Nausea and vomiting
C. Having a red eye
D. Headache
E. Tenderness around the eyes
F. Seeing rings around lights
G. Blurred vision

Macular degeneration
Age-related macular degeneration (AMD) is a problem with your retina. It happens when a part of the retina called the macula is damaged. With AMD you lose your central vision. You cannot see fine details, whether you are looking at something close or far. But your peripheral (side) vision will still be normal. For instance, imagine you are looking at a clock with hands. With AMD, you might see the clock’s numbers but not the hands.

AMD is very common. It is a leading cause of vision loss in people 50 years or older. There are two types of MD

1. Dry AMD – About 80% of people who have AMD have the dry form. Dry AMD is when parts of the macula get thinner with age and tiny clumps of protein called drusen grow. You slowly lose central vision. There is no way to treat dry AMD yet.

2. Wet AMD – This form is less common but much more serious. Wet AMD is when new, abnormal blood vessels grow under the retina. These vessels may leak blood or other fluids, causing scarring of the macula. You lose vision faster with wet AMD than with dry AMD. Many people don’t realize they have AMD until their vision is very blurry. This is why it is important to have regular visits to an ophthalmologist. He or she can look for early signs of AMD before you have any vision problems.

Symptoms of Macular Degeneration

A. Reduction in central vision
B. Distortion of straight lines in your field of vision
C. The need for brighter lighting
D. Difficulty adapting to low lights
E. Blurriness
F. Trouble recognizing faces
G. Retinal damage

Some symptoms of wet macular degeneration resemble those of dry macular degeneration, such as visual distortions and reduced central vision.

If you have wet macular degeneration, you may also experience:

A. A blurry spot in your field of vision
B. A dark spot in the center of your vision due to blood vessels bleeding or leaking fluid
C. Hazy vision
D. Rapidly worsening symptoms

Wet macular degeneration progresses more quickly than dry macular degeneration.

Diabetic Retinopathy is an eye condition that can cause vision loss and blindness in people who have diabetes. It affects blood vessels in the retina (the light-sensitive layer of tissue in the back of your eye).

Symptoms of Diabetic Retinopathy
The early stages of diabetic retinopathy usually don’t have any symptoms. Some people notice changes in their vision, like trouble reading or seeing faraway objects. These changes may come and go.

In later stages of the disease, blood vessels in the retina start to bleed into the vitreous (gel-like fluid in the center of the eye). If this happens, you may see dark, floating spots or streaks that look like cobwebs. Sometimes, the spots clear up on their own — but it’s important to get treatment right away. Without treatment, the bleeding can happen again, get worse, or cause scarring.

Cataracts

Cataracts are an eye condition caused when the lens of the eye develops cloudy patches. Over time these patches usually grow bigger, causing blurry, misty vision.

There are different types of cataracts, depending on which part of the eye’s lens is affected: they can affect the centre, the sides, or the back of the lens. They can appear in just one eye or in both eyes, although they may not develop at the same time. Eventually, if they’re not treated, cataracts can lead to blindness.

Symptoms of cataracts

• Blurred, dim or misty vision
• Difficulty seeing in low light or at night
• Sensitivity to light: lights look too bright or glaring
• Colors look faded or muted
• Seeing a ‘halo’ around bright lights
• Everything looks more ‘washed out’

If you have cataracts, things can start to look dim, blurred or distorted, as if you’re looking through dirty glass. Your vision may seem cloudy, and it can also be hard to make out details or colors.

I know they’re all sound scary. Like mentioned, these diseases normally doesn’t show the abnormalities right away. They take time to build up and sometimes before you know it, it’s too late.

Don’t wait until something goes wrong! You can call us now to book your appointment for eye check-up as a preventive plan. Or if you want to fix what is already fault, we can connect you to the right specialist who will recommend the most suitable treatment for you. Contact us now, we are here to help 😊

Sources for more information

July is Cord Blood Awareness Month!

July is Cord Blood Awareness Month!

– by Pirunrat Nathchayanonth (Yori), Client Coordinator

Cord blood or Stem cell banking isn’t something new but how much do you know about it or really understand it?

Now when we talk about cord blood, we also talk about stem cells. They’re like inseparable twins. Why? Because, they are within each other!

“Cord blood contains blood (haematopoietic) stem cells, which can produce all the other cells found in blood, including cells of the immune system.” – EuroStemcell (https://www.eurostemcell.org/cord-blood-stem-cells-current-uses-and-future-challenges#:~:text=Cord%20blood%20contains%20blood%20(haematopoietic,blood%20diseases%2C%20such%20as%20leukaemia.)

For those of you who’s not that much into science like I am. Let’s get to know them better, shall we?

Stem cells –

They are categorized into two groups –

  1. Mesenchymal stem cells (MSCs) can make several types of cells belonging to our skeletal tissues, such as cartilage, bone and fat. This includes –
  2. Cord Tissue – “Your baby’s umbilical cord is made of tissue and contains blood. Umbilical cord tissue is home to several cell types, including mesenchymal stem cells (MSCs), which scientists think may be great at acting like a body’s emergency medical team.” – CBR (https://www.cordblood.com/benefits-cord-blood/cord-tissue)
  3. Amniotic Membrane – Amniotic membrane, or amnion, is the innermost layer of the placenta and consists of a thick basement membrane and an avascular stromal matrix. Amniotic membrane transplantation has been used as a graft or as a dressing in different surgical subspecialties. – American Academy of Ophthalmology (https://eyewiki.aao.org/Amniotic_Membrane_Transplant)
  4. Adipose – Adipose tissue (AT) is considered one of the largest endocrine organs in the body as well as an active tissue for cellular reactions and metabolic homeostasis rather than an inert tissue for energy storage. The functional pleiotropism of AT relies on its ability to synthesize and release a large number of hormones, cytokines, extracellular matrix proteins and growth and vasoactive factors, collectively termed adipokines, that influence a variety of physiological and pathophysiological processes. – Science Direct (https://www.sciencedirect.com/topics/medicine-and-dentistry/adipose-tissue
  1. Hematopoietic stem cells (HSC) – These are the blood cell-forming adult stem cells found in bone marrow (a spongy tissue found in the centre of some bones)that can turn into different types of blood cells.

The 3 main types of blood cell they can become are:

In normal adult, HSC is not circulating in blood stream but only resides in Bone Marrow. 

In new born baby, just after delivery, HSC remains in umbilical vein which is the only chance to collect HSC (as umbilical cord blood) without pain.

I’m sure you’re familiar with the following –

  1. Cord blood – “Cord blood is the blood that remains in the placenta and umbilical cord following the birth of your baby.” – NSH (https://www.nhsbt.nhs.uk/cord-blood-bank/what-is-cord-blood/)
  2. Bone marrow – is part of our immune system which protects us from infection and disease. It is found inside our bones, mainly in the hip bone and the breast bone. The bone marrow is where stem cells are made. – MacMillan Cancer Support (https://www.macmillan.org.uk/cancer-information-and-support/treatment/types-of-treatment/stem-cell-and-bone-marrow-transplants/stem-cells-and-bone-marrow)

But because July is the Cord Blood awareness month, we will focus on this one in particular.

What’s the fuss?

“Currently, cord blood stem cells have been approved by the FDA in the treatment of nearly 80 diseases. In addition to these approved therapies, there are close to 350 clinical trials underway investigating the use of umbilical cord blood and umbilical cord tissue for stem cell transplantation, and this number promises to steadily increase. Cord blood stem cells are approved for numerous types of malignancies, anemias, inherited metabolic disorders and deficiencies of the immune system. The majority of cord blood transplants to date have been performed in patients younger than 18 years; however, advancements in regenerative medicine show promise for all ages.” – Cryo-cell International (https://www.cryo-cell.com/treatments-and-research)

For years, countless of research has been conducted to find the cure for nasty disease like cancer and the answer lies in the one thing that we were born with!

Since most of this is placenta harvest and samples are normally being collected at birth, this should be one of the steps in your family planning. So where do we start?

Look into Cord Blood or Stem Cells Banking

“Cord blood banking, sometimes called stem cell banking or stem cell preservation, is the process of collecting the blood that remains in the umbilical cord, processing the blood to extract the stem cells, and cryogenically freezing the cells for potential future medical use.” – ViaCord (https://www.viacord.com/why-bank/cord-blood/)


https://www.cordbloodbank.com/what-are-stem-cells/what-is-cord-blood/

If you’re in Thailand and you don’t know where to start, please allow us to direct you to Cryoviva (http://cryoviva.com/), one of our longest running partners specializes in this field. With internationally renowned standards and innovative procedure, they’re the leader in the region.

At Cryoviva, “Your Life is Your Choice”! With 12 years of experience and being one of the world’s top 10 Stem Cell storage company including many recognitions from certified institute worldwide, rest assured you have nothing to worry about.

Exclusively for Enliven clients we are now offering 4 Special Cord Blood Banking Packages available for both MSCs and HSCs. Contact us now for more details!