Sciatic Nerve Pain

Archive for the ‘middle back pain’ Category

Today, people mistake heart attack for cardiac arrest. The differene between the two is actually very distinct. Cardiac arrest is the medical situation when your heart stopped beating. It does not necessarily mean there is something wrong with your heart. It could be a result of a complication. On the other hand, a heart attack is actually a disorder. Also called acute myocardial infarction, a heart attack is characterized by an interruption of the blood supply to a particular part of the heart resulting to oxygen shortage. The area not receiving sufficient oxygen suffers from tissue damage that could lead to tissue death. This is when a person would be experiencing a heart attack.

Since heart attacks are the leading causes of death worldwide, knowing the signs could mean the difference between life and death. Contrary to some belief, heart attacks do not always have to be a “chest-grabbing” incident. Many people experiencing a heart attack actually thought it was just heart burn or chest muscle pains. And it doesn’t even have to be a one-time discomfort. You can experience recurring symptoms, which may feel mild one day and the next day severe, before an actual heart attack happens. So before you put yourself or your loved ones in serious dangers, here are some heart attack signs to look for.

The most classic heart attack sign is a feeling of discomfort in the middle of the chest. It could be a sudden dull pain that could subside after a few minutes. But remember that this kind of chest discomfort always come back. You may also feel an uncomfortable squeezing, pressure of even fullness aside from the mild to severe pain. This chest discomfort is actually because of the oxygen shortage in the heart muscle. Some pain actually spread to the left arm, lower jaw, back and stomach region.

Another heart attack sign is the sudden shortness of breath. This is because the left part of the heart has limited output, eventually damaging the heart. You will also exhibit other heart attack signs such as sweating, nausea, weakness, vomiting, light headedness and palpitations. Some persons lose consciousness when having a heart attack while others die suddenly.

In females, heart attack signs vary a little. The most common signs include weakness, dyspnea and fatigue. Sleep disturbances are also reported for a period as long as a month before an actual heart attack occurs. Not all persons with heart tissue damage will experience pain or discomfort. In fact, almost 30% of heart attack cases did not exhibit classic chest pain or other heart attack signs. It will only be confirmed after a medical investigation is done,

Individuals at risk of a heart attack are those who have a genetic disposition to it (family history), diabetes, obesity, high blood pressure, high cholesterol levels, high LDL levels and low HDL levels. People, who smoke, drink excessively, eat fatty foods, do not exercise and stressed, are also at risk of having a heart attack. These kinds of habits can be severly damaging to your body, and can ultimately prove to be fatal.

Sven Ullmann
http://www.articlesbase.com/diseases-and-conditions-articles/heart-attack-signs-113232.html

Osteopathy is the branch of science which believes that illness and diseases in the body are caused due to the loss of structural unity which can be restored back through manipulation. It is ranked among the ‘alternative system of medicine’ which focuses on the role of musculoskeletal system in health and disease. Osteopathy was first developed by Andrew Taylor Still (1828 – 1917), a civil war surgeon in the Union Army, who failed to save his three children from spinal meningitis.

In most of the countries Osteopathy serves a form of alternative medicine, focusing on the holistic approch and the skilled use of a range of manual and physical treatment interventions in curing and preventing the disease. It is actually related to musculoskeletal problems such as neck and back pain.

According to the study of Osteopathy, the body has the natural tendency to seek equilibrium and health. The practitioner of Osteopathy called Osteopaths are trained to study the body’s living anatomy – flow of fluids, motions, texture of tissues and structural makeup.

The manipulation or influence allegedly allows the body to heal and recover itself. Osteopaths use manipulation for diagnosis, treatment and prevention of diseases and illness in the body by the sense of touch.

Osteopathy employs manual therapies for the treatment of many neuromusculoskeletal pain syndrome such as depression, headache, lower back pain along with the treatment of some major diseases in the body such as asthma middle ear infections in children, pulmonary infection and menstrual pain.

There are several principle of Osteopathy according to which body is a unit. The body function according to the structure of the body. The body comprises of self regulatory mechanisms. Osteopaths believe that the body has got the natural tendency to heal itself.

the practicioners of Osteopathy beleives that body has the capacity to defend and heal itself. When the normal adaptability is distrupted, the disease may ensue. They beleive that the movement of body is essential for the maintanence  of health.

Diseases enter the body when the environmental changes overcome the body’s capacity to self defence and maintenance. They also believe that the nerves play the major in controlling the fluids of the body.

Aparana
http://www.articlesbase.com/health-articles/osteopathy-741189.html

 

Tendons themselves are cords of tough, fibrous connective tissue that attach muscles to bones. Tendinitis is an inflammation of the tendon. The condition may also involve the tendon sheath, usually close to where the tendon goes into the muscle. Tendons are generally healthy structures that appear glistening white to the naked eye. If you’ve ever carved a turkey, the tendons are the tough bands you cut through to get the drumsticks apart.

Tendinitis usually occurs in middle or old age. The condition develops when people have used the same motion over and over again for a long time. When tendinitis occurs in younger people, it is usually caused by performing the same motion very frequently over a short period of time. A classical example of tendinitis is tennis elbow. Tennis elbow gets its name because it occurs most commonly among tennis players. Tennis players may use the same swing of their arm over and over again many times during a few hours or few days.

The first symptom of the patellar tendonitis is pain in the patellar region or between the kneecap and the shinbone’s tendon. During jumping or running, the pain can be noticeable and sharp, and it will continue to throb fully even while at rest. As the condition worsens, the patient may discover that the pain becomes worse as the intensity of the activity goes higher.

The Facts on Tendinitis

Tendons are bands of tissue that anchor muscles to bones. They slide back and forth as our muscles contract and our joints flex. To prevent chafing and to keep them in position, the tendons are enclosed in special coverings (sheaths) that are lubricated. When something goes wrong that prevents the tendon from moving smoothly, pain and stiffness result. When tendons are damaged and inflamed, the condition is commonly known as tendinitis. If the problem is in the lining of the tendon’s sheath, it’s called tenosynovitis.

Tendinitis due to overuse is most common in younger individuals and can occur in walkers, runners, or other athletes, especially in sports like basketball that involve jumping. Jumping places a large amount of stress on the Achilles tendon. Tendinitis from arthritis is more common in the middle aged and elderly population. Arthritis often causes extra bony growths around joints, and if this occurs around the heel where the Achilles tendon attaches to the heel bone, the tendon can become inflamed and painful.

Tennis elbow (epicondylitis) was first recognized by doctors more than 100 years ago and it is estimated that up to half of all tennis players will suffer from the condition at some point. Tennis elbow is the inflammation of the tendons in the elbow area and is caused by overuse and injury. Tennis elbow almost always effects the tendons out the outside of the elbow.

Injections: Medical practitioners often inject cortisone into the affected tendon to relieve the inflammation as well as the pain. However, there are certain side effects associated with cortisone, which must be carefully weighed before you opt for this particular type of treatment.

peterhutch
http://www.articlesbase.com/diseases-and-conditions-articles/tendinitis-causes-symptoms-and-treatment-483189.html

 

 

Dr.A.K.Venkatachalam,

 

Consultant orthopaedic surgeon

 

www.hipsurgery.in

 

Hip arthritis in India affects young and middle aged persons unlike the west where Primary hip osteoarthritis pre dominantly affects the elderly. Surgery in this group of relatively younger patients requires newer techniques and implants. This article will shed light on the disease and the current modalities of treatment available.

Types of Hip arthritis

 

Hip arthritis is classified as Primary and secondary Osteoarthritis.

 

Primary osteoarthritis is age related wear and tear arthritis. It is rare in India.

 

Secondary osteoarthritis occurs at a younger age and is more common. Rheumatoid arthritis, avascular necrosis, traumatic arthritis and other connective tissue disorders like SLE, Psoriasis etc. all lead to secondary osteoarthritis.

Rheumatoid arthritis is an auto immune disorder, affects all joints particularly the small joints but also does not spare the hip and knees.

 

Avascular necrosis is a condition that reduces the blood supply to the end of the bone. It affects patients with excess alcohol intake, consuming steroids, connective tissue disorders like SLE. Systemic lupus erythematosus (SLE) is a connective tissue disorder affecting mainly young women A photo sensitive rash on the cheeks, renal involvement and arthritis are some notable features. Avascular necrosis affects a proportion of the patients with SLE.

 

Gaucher’s disease is a genetic storage disorder.

 

Post traumatic arthritis occurs after a severe injury to the hip. Fractures of the ball (top of the femur) or socket (acetabulum) can lead to arthritis after inadequate treatment.

Hip arthritis is very disabling as it is a small ball and socket joint unlike the Knee joint which is a large one. In advanced disease a total hip replacement was recommended by Orthopaedic surgeons until recently. Advances in orthopaedic surgery now cater to the specific requirements of these younger patients.

Surgical solutions

 

These are the mainstay of treatment as conservative measures fail to relieve pain. Total Hip replacement (THR) is a time tested operation and has a success rate of 93 % survivorship at 10 years.

 

The hip joint may need to be replaced with an artificial joint when it is irreversibly damaged and cannot be salvaged by alternate surgery. The patient complains of pain and restriction of movement. The pain may often be referred to the knee or felt in the knee and no hip symptoms. Occasionally the pain may be felt more in the buttock area rather than in front of the groin.

Who needs a hip replacement?

 

In India, many young patients with ankylosing spondylitis, avascular necrosis, post septic arthritis, post injury suffer from hip arthritis and are advised a hip replacement for disabling pain. Thus many hip replacement operations are performed in younger patients. The surgery should cater to the enhanced demands on an artificial joint by younger and more active patients. Naturally an operation designed for Western elderly patients is not suitable for younger patients.

What is a total hip replacement?

Fig1. Shows the differences between a normal THR on the left and a Proxima hip on the right

In this operation the ball shaped upper end of the thigh bone (femur) and the socket (acetabulum) are replaced. The ball is replaced with a long metal stem that is fixed into the upper end if the thigh bone. Its upper spherical end articulates with a cup shaped polyethylene socket that is cemented into the pelvis.

 

Conventional hip replacements sacrifice a great deal of normal bone as the head, neck, and upper part of the thigh bone is removed for implantation of the prosthesis. Moreover wear debris from the poly-etheylene liner lead to osteolysis and bone loss. When this first hip is to be changed or revised after its lifespan more bone loss occurs. Conventional hips have a small ball to reduce friction and wear, but the ill effect of this is an increased risk of dislocation. An average dislocation rate of 3- 4 % has been reported. These implants do not last very longer than 20 years and revision rates of 50% at 20 years have been reported. Survival rates are less satisfactory for the relatively younger active patients. Thus a total hip replacement is not an ideal implant for younger patients less than fifty years old who need a new hip.

 

Problems with conventional total hip replacement:

 

• Excessive bone sacrifice and loss
• Increased risk of dislocation
• Patients cannot squat or sit cross legged on the floor with out the risk of dislocation.
• Range of movement is less
• Patients cannot involve in sports
• Poor survival in young and active patients they require earlier revision.
• Revision surgery is difficult
• The hip feels less like a normal hip
• The cup wears with time and plastic from it harms bone
• Change in length of the leg after surgery leading to leg length discrepancy.

Why remove normal bone when only the surface of the ball is bad?

 

This is the logic behind hip resurfacings. This bone preserving hip resurfacing involves replacing only the diseased bony surfaces of the head of femur and acetabulum. This involves sculpting the head of the femur and covering it with a metal cap and fixing an uncemented socket into the acetabulum to receive the head.

Hip Resurfacing- A bone preserving hip replacement!

 

Preservation of bone and less stress shielding makes it easy to revise this hip if needed. The large head size provides a very stable joint and recreates the sensation of a normal hip joint. Patients have gone back to playing Judo and Squash after this operation. Advances metallurgy makes the metal on metal articulation likely to survive longer in the young and active patient. With less metal inside the bone and less invasion of the medullary cavity of the femur, the risk of infection is reduced. Rehabilitation is faster and better.

 

Advantages of hip resurfacing:

 

• Allows the patient to squat and sit cross legged on the floor safely
• Allows a normal range of movement
• Sacrifices only the surface diseased bone and preserves normal bone
• Imparts a more normal sensation
• The joint is likely to last longer even in younger and active patients.
• Earlier and faster rehabilitation
• Less risk of dislocation
• Easier to revise if needed.
• No leg length discrepancy

Proxima hip replacement – A perfect bone preserving hip replacement?

 

This is the latest addition to the armamentarium of the hip surgeon in India. It is a bone preserving hip replacement.

 

In this operation, the entire diseased head of the femur is removed. The lining of the hip socket is resurfaced with a metal cup. A tiny uncemented hip with a short stem called the Proxima hip is impacted into the upper end of the femur or thigh bone.

The size of the implant matches the natural one and hence the risk of dislocation is almost eliminated. It is recommended when the bony destruction is advanced and hence unsuitable for resurfacing and a total hip replacement would be overkill. The advantages of the Proxima are

 

• suited for minimally invasive surgery
• No thigh pain
• Metal on metal – confers longevity
• Conformity to normal size eliminates risk of dislocation
• Ability to correct biomechanical abnormalities makes this superior to resurfacing.
• Imparts a more normal sensation
• Allows a normal range of movement and normal activities

 

 

A.K.VENKATACHALAM
http://www.articlesbase.com/medicine-articles/hip-arthritis-in-india-bane-of-young-patients-recent-advances-in-treatment-722149.html

It’s a shame to lay out $250 – $2,500 on a dreamy cruise vacation only to encounter unnecessary mishaps and inconveniences. So, in an effort to minimize the likelihood of a bump in the road to your perfect vacation, here are some common potholes that you can avoid.

Mistake #1: Not Making Your Luggage Distinctive. At the end of your cruise, your luggage will be placed in a huge room with THOUSANDS of pieces of luggage, probably in some designated area based on the color of a luggage tag provided by the ship. No matter how familiar you think you are with your own luggage, it’s amazing how well your bags will blend in with the mass of cargo surrounding them. Having a quick, easy way to identify your luggage will be a major relief, especially if it gets misplaced.

BUT, that isn’t the main reason to make your luggage stand out. You will be entering this cavernous room with a couple thousand other people, some of whom stayed up all night partying. They are going to be impatient to get their bag and get out and there is a fairly good chance that their vision isn’t so good. If your bag looks like their bag, it could be a goner. And, if a stranger does take your luggage it could be hours, even days, before you get it back.

Do something durable and noticeable to your luggage so that it not only is recognizable to you, but also let’s bleary-eyed fellow travelers know that your bag is not their bag. Put stickers on it, paint a day-glo streak around it, sew a teddy bear onto the outside… just make sure it stands out.

Mistake #2: Not Researching Shore Excursions Beforehand. It should come as no surprise that cruise line advertising folks have the ability to describe each and every shore excursion as a once-in-a-lifetime opportunity. Of course, no cruise is complete without shore excursions and many of them are absolutely wonderful chances to do things you would never do otherwise. But, be smart here. It’s okay to get hoodwinked into thinking that palm trees do sway all day long and that sand feels like silk under your feet. But, it’s a whole ‘nother thing to be looking forward to that perfect, serene afternoon on a remote beach only to find out you have 500 friends, some with young kids, crowding around you and bumping into your beach chair while vendors hawk everything from coconut shells to t-shirts.

Before you commit, read some reviews, talk to the cruise ship shore excursion folks, ask fellow passengers, do some thinking. Most cruise ships have a “No Refund” policy on shore excursions, but don’t be afraid to ask for one if your experience is truly unacceptable. Better still, find out what you’re getting before you go. Many (if not most) shore excursions are just great and you’ll be happy you went. But cover your stump and you’ll be glad you did.

Mistake #3: Runaway Bar Tabs. Unless you specifically choose a package that includes it, your bar tab is NOT included in the “all inclusive” part of your cruise. Adding to the bite is the ubiquitous 15% gratuity that gets added to every purchase you make on board a ship.

I could suggest that you drink less, but that’s just plain dumb! You’re on a cruise! So, pay attention to how much you drink. Those cute little umbrellas drinks that come in a stunning canary-yellow cup will cost you about twice what a basic cocktail costs. Cruise ship booze is already costly enough; you don’t need to help them out by spending more for a cup that you’ll stash in a closet when you get home.

Cruise ships have a policy against bringing alcohol on board, but the policy is very loosely enforced if you don’t flaunt it. In other words, don’t strap a handle onto a case of Budweiser and check it as baggage or load up your carry-on bag with bottles of Wild Turkey. Discreetly packed airline bottles of booze or cans of beer will probably go unnoticed. Don’t try to sponsor a frat party, but you can definitely help yourself out a bit.

You are allowed to bring your own wine on board if you plan to drink it at dinner, though you are charged a “corking fee”. And, you can also bring a small stash of non-alcoholic beverages (soda, water, etc) with no problem. You should definitely bring some water, especially if you’re cruising in warm climates.

Mistake #4: Ignoring the Fury of the Sun Gods. Sun Burn treatments are the fourth most popular reason that people on cruises visit the ship’s infirmary. (The first three are: 1) bumps and bruises, 2) indigestion, 3) seasickness). Once you’re burned, there isn’t much anyone can do for you except try to alleviate the pain. (My favorite treatment for that is something called “Traumeel”. You can’t find it in the drugstore, but most health food places will have it.)

If you’re cruising in the winter months (Nov – Feb), you don’t have as big a problem. Even when you are in the sub-tropics, and even though your skin probably hasn’t seen sun for several months, the sun is hitting you at an angle and that makes all the difference. You still need to be careful, but you have more leeway.

In the spring and summer months, when the sun is overhead, you can get burned in as little as an hour, especially in the afternoon hours. Some silly people forgo the sunscreen because they want to make sure they get a tan. Not a good idea. Start your sunbathing session with at least 15 SPF (30 if you haven’t been in the sun, with extra protection on your lips). As you get closer to your end time, use less SPF. Even with a good sun blocker, your friends and co-workers will still know that you’ve been out in the sun.

Hats are a serious plus if you are in sunburn territory. Most people don’t put sunscreen on their heads, and so the part of your body that is getting the most direct rays for the longest period of time remains unprotected. Visors don’t protect your skull; you need some type of covering.

Mistake #5: No First Aid Kit. As previously noted, there are several reasons that passengers end up wasting time (and sometimes money) visiting the infirmary. You may not be able to avoid all mishaps, but you can prepare for the lesser blunders. By the way, all of this applies double if you’re traveling with kids!

Bumps and Bruises. The biggest reason people visit the ship’s doctor probably has something to do with mixing booze, slippery surfaces, metal railings and the rolling motion of the ship. For most of your injuries, the right size band-aid and a good analgesic crème will do the trick. A simple travel or camping first-aid kit will have what you need.

Indigestion. One of the drawbacks of having such constant access to all that wonderful rich food that cruise ships are famous for is that people eat it. And eat it. And eat some more. Unless you are a strict disciplinarian, you can expect to consume about two or three times your normal food quantity in an average day. Add to that the steady consumption of alcohol that is a hallmark of cruising and voila! Indigestion. Take along some Alka Seltzer, some Pepto Bismol and sum type of antacid tablet, like Tums or Rolaids. All of these are available in tablet form. Some ships stores will have some of this, but not always and if you need it in the middle of the night you’re out of luck.

Seasickness. The best treatment is prevention. After you get it, well… yuck! Check out the various forms of Dramamine that are now available, including pills and patches. The directions will tell you how much lead time before you hit the waves you need to get the maximum effect. You can also get acupressure wrist bands that work really well with some people.

One of the best treatments I’ve ever seen for treating seasickness once it hits you is Coke and soda crackers – lots of both. Some people say that 7-Up works also, but I think there is something in the caffeine in Coke that helps the whole process. If you are feeling sick, your cabin is the worst place to be unless the weather topside is really bad. Being able to get fresh air and see the horizon helps to trigger the brain sensors that calm seasickness.

Headaches. We all know that booze can make your head scream for mercy, but so can sun and lots of new food. If you’re not used to heavy carbs in your diet and you scarf up lots of pastries, ice creams or gourmet desserts, your body can trigger the same symptoms it does when detoxing from too much alcohol. And, if you experience bumps, cuts or sunburn a pain reliever is a good thing. Have a supply of different types of pain reliever. Depending on the reason for your pain, aspirin may not work as well as Tylenol or Ibuprofen in a given circumstance. (Do I need to remind you to read the label and follow the directions?)

Mistake #6: What? No Camera? A Picture Really Is Worth A Thousand Words. It’s hard to imagine, but some people will actually take the trip of their dreams and not take a camera. Or, they’ll take a camera, but they won’t keep it with them. Don’t do that. If you have a digital camera, use it, use it, use it. If you don’t have a digital camera, spring for about three or four disposable ones. And be sure to take you camera to the Life Boat Drill. You’ll know why when you get there.

A side bar to this camera thing is the Photo-ops that you have all over the ship. There will be dozens of them on your cruise – when you’re boarding, when you’re dining, when you’re getting off the ship, at the pool – at times it will seem like some one is taking your picture every time you turn around. You are, of course, free to decline. But I recommend that you give it a shot. Yes, these photos can be goofy, even cheesy, but they can also be a lot of fun. Plus, you just might end up with the best shot of the cruise. Some of the settings are outright elegant, rivaling what you would find at a studio. It’s a great way to get a nice formal picture for your living room or to send to your family, and there’s no sitting fee!

Mistake #7: Buying From Street Vendors. Where ever you go on your cruise, once you step ashore you will be approached (accosted?) by local folks trying to sell you something. I’m not talking about the shops and makeshift kiosks you may find, I’m talking about the guys selling Cuban cigars out of their trunks, or pirated CDs out of a cardboard box.

Your best bet, unless you’ve been there and really know the score, is to just say NO. Regardless of how appealing the offer, just say NO. Most of the products are very low quality and you have no way to check it out before you buy. I know of people who bought CD cases with no CDs inside, watches that didn’t work, Cuban cigars purchased in the local drugstore, “handmade” jewelry that came out of bubble gum machines, the list is endless. And this applies SIXTEEN FOLD if some local guy tries to sell you some pot.

In most ports of call frequented by American-based vessels, this street traffic is actually illegal. You probably won’t get into trouble, but why risk it? Save your money for the honest locals and their little shops that are going to sell you watches that do work, they just fall apart in a few weeks.

Mistake #8: Thinking You’ll Save Money “In Town”. One of the charming aspects of cruising is the ritual of visiting the local markets and shops. This is truly a fun experience and you can find all manner of unique and special items, but you probably won’t find any real bargains. There are bargains to be found, but you really need to know what you’re looking for and what it’s worth in the US. Don’t be cynical about it. It’s all part of the experience. Somehow, buying a wooden giraffe in Grand Turk is better than buying the same wooden giraffe at Pier 1 Imports, even if you pay a little more. Go figure.

You actually can save money when you buy liquor or tobacco products, but it might not be as good a deal as it first seems. Most ports have what are called “duty free” shops which means that there was no “duty” (i.e. import tariffs) paid on the products and so they are cheaper to sell in that country. The same applies to diamonds and other fine jewelry. The challenge is knowing what an item is actually worth. Just because these guys saved on the import fees doesn’t mean they’re passing the saving on to you. Also keep in mind that you are supposed to declare to US customs any purchases you make in a foreign country. Duty Free in Nassau doesn’t mean it’s duty free when you come back to the US. There are certain exemptions for personal items, but if you shell out some big bucks, you might lose the saving when you pay the US import fees.

So, don’t be a miser. Spend freely. Do some Christmas shopping. Spread your money around the local economy and have fun doing it. Just remember, these guys are in the business of selling stuff to foreign tourists. They know where the money is coming from and they know how to keep as much of it as they can.

Mistake #9: Sticking around the port. Yes, ships are safe in the harbor, but that’s not what ships are built for. Most ports of call, especially when the call is for a day or less, are set up to provide the ships passengers with a particular experience. They accomplish this by making their ports as visitor-friendly as possible. The experience of Mexico that you get right outside the port in Cozumel is decidedly different than the experience of Mexico on the other side of the island. Around the port, all manner of business are set up to appeal to a particular comfort-zone and a particular economy.

But, often, just a few miles from the port, you can have a completely different experience. If you travel to Grand Turk, for example, you can spend a delightful afternoon at the resort-like environment of Margaritaville. The beach is well-maintained, though a bit crowded. There is a huge beautiful pool with lots of palm trees and man-made waterfalls. A beer will cost you about $6 and a burger will be about $8.

But a short taxi ride to the old downtown area will take you to a much more authentic location. At least for the time being. You can stroll crowded, dusty streets; see skinny dogs shuffling through garbage cans and have a local beer and piece of fried chicken for about $3.75 at one of the local pubs. Sure, the pub would never pass an American food inspection and you may have to do without air conditioning. But the experience can be wonderful. You won’t get that experience staying close to the port.

Of course, you want to be safe and you want to be able to get back to your ship before it sales, so keep all that in mind. But, there is a whole universe of color, sound, smells and people that don’t ever get to the port and it’s worth the trouble to find it.

Mistake #10: Not Preparing For the Journey Home. Sooner or later (it will seem much too soon), your cruise will come to an end and you’ll have to return to the land of making your own bed and cooking your own food. The journey home is often an irritating necessity and something to endure as quickly as possible. But, if you rush back into the reality you left behind, it’s kind of like a diver coming to the surface too quick after a deep dive. Your mind and body will resist.

If possible, do something fun on the way home. Stay an extra night in a hotel or visit a landmark or even a theme park. At the very least, stop at a nice restaurant for a leisurely lunch or dinner. A quiet picnic (even with fast food) at a rest area can be a perfectly delightful way to transition home.

Here’s a couple of things to do to make your return less stressful and hurried.

• If you’re driving, fill up with gas before you go to the port. Make sure that, when you leave, you don’t have to stop until you want to.

• When you have breakfast on your last morning, take some pastries with you, or even make yourself an egg sandwich. If you thought to bring a thermos with you, fill up on coffee or juice for the ride home.

• Leave some bottles of water in your car. Many bus companies will allow you to leave some personal items on the bus when you get to the port, so include some water and a pillow.

• Find out what the weather is back home. I once stood shivering in 40 degree weather outside the airport in a pair of shorts and an aloha shirt. Hey, it was 85 degrees when I left Puerto Rico that morning!

• Take the next day off. If you are returning to port on a weekend, good. If not, schedule the time off before you leave. Or call in sick. You’ll be SOOOOOOOO glad you did.

A Final Suggestion.

Keep up with all of the information documents you got on the cruise – daily ships newsletter, shore excursion price list, etc. When you get home, file all this in a folder and then use if for reference material for yourself or someone else the next time a cruise is planned. And before your forget, write down all the things you wish you’d thought of and that you wish you had known. Make a complete list and stash it with the other cruise information you brought back.

Happy Cruising!

Fred Tutwiler
http://www.articlesbase.com/cruising-articles/ten-mistakes-when-cruising-108488.html