THE EIFFEL TOWER

 

 

One of the most recognizable landmarks in France is the Eiffel Tower, designed by Maurice Koechlin to commemorate the centennial of the French Revolution, and named after Alexandre Gustave Eiffel. Construction ended in 1889, and its location marked the entrance to the 1889 World’s Fair. Since then, the tower has become synonymous with Paris. The tower is a wrought-iron lattice tower on the Champ de Mars in Paris, France. It is named after the engineer Gustave Eiffel, whose company designed and built the tower from 1887 to 1889.

Locally nicknamed "La dame de fer" (French for "Iron Lady"), it was constructed as the centrepiece of the 1889 World's Fair, and to crown the centennial anniversary of the French Revolution. Although initially criticized by some of France's leading artists and intellectuals for its design, it has since become a global cultural icon of France and one of the most recognizable structures in the world.

 

For Paris 2024 Olympic Games, the decision was made to combine one of the strongest symbols of the Olympic Games - the medals - with the most iconic symbol of the French nation - the Eiffel Tower. Chaumet, expert French jewelers designed every Olympic and Paralympic medal by adorning them with a highly symbolic and invaluable piece of metal: the original iron used in the construction of the Eiffel Tower! The tower itself played a vital role in the Olympic Games, hosting the Beach Volleyball and providing a scenic backdrop to road cycling, marathon, judo ad wrestling. It also remained a silent backdrop to various other activities during the Olympic Games and was the central hub of activities during the Games.

 

I have been to Paris on several occasions and have seen the Eiffel Tower with friends and all by myself. I have picked up brochures from various places, listened to Walkman audios and watched many YouTube videos, and these are the few things I want to share with you all about the Eiffel Tower:

1. The tower stands 324ft (98m) tall, and is constructed of 18,038 metal beams, weighing over 7,300 tons.

2. Painting the tower required 60 tons of paint, and a new coat is needed every seven years.

3. The architect the tower is named after, Gustave Eiffel, also designed the Statue of Liberty. The design of the Eiffel Tower is attributed to Maurice Koechlin and Émile Nouguier, two senior engineers working for the Compagnie des Établissements Eiffel.

4. The tower’s construction was not popular, and many artists and architects protested against it.  A petition called "Artists against the Eiffel Tower" was sent to the Minister of Works and Commissioner for the Exposition, Adolphe Alphand, and it was published by Le Temps on 14 February 1887: ‘We, writers, painters, sculptors, architects and passionate devotees of the hitherto untouched beauty of Paris, protest with all our strength, with all our indignation in the name of slighted French taste, against the erection ... of this useless and monstrous Eiffel Tower’

5. Originally, the Eiffel Tower was planned to stand for only 20 years.

6. In 1905, the French newspaper L’Equipe held a race to the first level. The winner’s time was three minutes and twelve seconds (the winner won a bike).

7. In 1964, the city of Paris celebrated the Eiffel Tower’s 75th anniversary by televising a group of mountaineers, climbing to the top of the tower.

8. On the tower’s 100th anniversary, a tightrope walker named Philipe Petit walked over a 2,296ft (700m) tightrope between the Tower and the Palais de Challiot.

9. During WWII, at the First Battle of Marne, the allies used the tower to block Nazi radio signals, facilitating their victory.

10. During the winter, the tower shrinks by six inches (15cm).

11. Winds and heat cause the tower to sway as much as seven inches (18cm).

12. Gustave Eiffel actually had a small apartment on the top floor, which he used to entertain friends and family.

13. These days, the 2nd floor is the home of the world-famous Jules Verne restaurant.

14. Surprisingly, the majority of tourists who visit the tower are French.

15. Every night, over 20,000 light bulbs illuminate the tower.

16. Before the installation of elevators, visitors who wished to get to the top had to use the 1,665 steps.

17. Over seven million people visit the tower annually. The Eiffel Tower received 5,889,000 visitors in 2022.

18. The tower is 330 metres (1,083 ft) tall, about the same height as an 81-storey building, and the tallest structure in Paris. Its base is square, measuring 125 metres (410 ft) on each side.

19. It was the first structure in the world to surpass both the 200 meters and 300 meters mark in height. Due to the addition of a broadcasting aerial at the top of the tower in 1957, it is now taller than the Chrysler Building by 5.2 metres (17 ft). Excluding transmitters, the Eiffel Tower is the second tallest free-standing structure in France after the Millau Viaduct.

20. The tower has three levels for visitors, with restaurants on the first and second levels. The top level's upper platform is 276 m (906 ft) above the ground—the highest public observation deck in the European Union.

21. Tickets have to be purchased to the three levels. Both lifts and stairs service the lower and middle levels with a 300 and 600 stairs ascent. There are stairs to the top level but is is accessible only by lift. A ticket for two, valid for 90 minutes costs INR 4000 and with summit option it costs INR 4570.

 

A walk from Notre Dame to Eiffel Tower, along the Seine river is a leisurely 5 Km early morning pleasure, which you can not avoid if you are in Paris. You can also do this journey through Champ de Mars, down rue St Dominique, right on Blvd St Germain, then through St Michel, but walking by the side of the river is a very different experience.

In 2015 workers gave the tower an environmentally friendly makeover by installing two wind turbines on the second level of the structure. These devices convert wind into electricity for the tower's shops and restaurants. A system was also set up to collect and funnel rainwater into the tower's toilets. The tower has two small laboratories on the third level where astronomers and meteorologists could work.

If you are interested in knowing more about the Eiffel Tower then I will advice you to see this YouTube video: https://youtu.be/RmnRF_lNDbA

REMEMBERING Prof. K.C.GARG BY HIS LECTURE ON GLAUCOMA

 

Prof. K,C. Garg was our teacher of Ophthalmology when we were doing our M.B.B.S in King George’s Medical College, Lucknow. He was an outstanding teacher, a very popular clinician and a wonderful human being. He inspired an entire generation of students to take up Ophthalmology as a career and his students went on to became Unit Chiefs and Directors of Ophthalmology in hospitals and medical institutions all over the world.

 

Prof. Garg MS, FRCS, DO was trained in the U.K. and was the second in hierarchy in the department of ophthalmology, during a large part of his tenure, a time when we had a head of the department with an exceptionally towering demeanor in Prof. M.K. Mehra, about whom I have eluded in one of my previous blogs. In case you have missed it, please click: https://surajitbrainwaves.blogspot.com/2025/01/remembering-prof-mk-mehra-with-his.html

Only in the last two years was Prof. Garg the head of the department. The postgraduate students in the department had much to learn from him, besides the subject. At times he would talk of the past, when he used to travel by bus, to neighboring towns, rendering service and earning a name, by providing professional specialist service to the people.  The sympathy, empathy, and kindness for the patients, was there at all times, for all his residents to see and emulate. He was simple and humble at all times whether he was with the PG students or colleagues. It was because of the genuine person he was that even the head, never questioning his authority, even though was senior to Prof. Garg by two years. He was the only faculty with a personal chamber of his own, besides the HOD, in the department, yet most of the time, when not in the OPD or the OT, he would sit in the chamber where his colleagues, much junior to him, were having their seats.

During those days, the Chief Resident was responsible for preparing the OT list, and as a principle, whenever the HOD went on a short leave, Prof. Garg would take the rounds of the beds of the HOD, but never operate  those patients, requesting them to wait a day or two, for the HOD to return. He always expected a reciprocal culture in working.

An incidence was recalled by my batch mate, Dr. Jaideep Datta, a prominent ophthalmologist in Dehradun. In the absence of the Chief Resident one day, he, the Senior Resident, was officiating and he took Prof. Garg, who had returned from a short leave, for the rounds, along with the JR and HO's. On seeing a patient on his side, operated just a day earlier by the HOD, an oversight of the CR,  Jaideep was witness to a rare  mortal rage, where the team members simply ran away for chores not completed for last many days, leaving him to face the fury of the person who valued principles. Within minutes, he was back to normal, and later, when he was leaving the department, Jaideep was called. Prof. Garg, seated in his car, explained painstakingly his point about morality and the correct ways of life. The next day was their OT day, and he deputed Jaideep to operate three cases, even though those senior to him and others were present. Justice and apology both being delivered in the true tradition of Guru-Shishya parampara!

 

Today I recall a lecture on Glaucoma, delivered to our MBBS class way back in 1978-79 by Prof. Garg. After retrieving my lecture notes I asked my batch mate and retired professor of Ophthalmology from Prof. Garg's department, Dr. Poonam Kishore to confirm that I have documented it correctly. She tells me that the understanding of glaucoma  has changed over time, but this was an outstanding lecture for the late seventies!

 

What is glaucoma?

Glaucoma is an umbrella term for eye diseases that make pressure build up inside our eyeball, which can damage the Optic Nerve at the back of our eye. Most of these diseases are progressive, which means they gradually get worse. As they do, they can eventually cause permanent vision loss and blindness. In fact, glaucoma is the second-leading cause of blindness worldwide.

 

In Glaucoma the optic nerve becomes damaged, and worsens over time. The build-up of pressure inside the eye, known as intraocular pressure, is the eye's inability to drain out the aqueous humor fluid properly. Optic nerve damage can lead to loss of vision and permanent blindness within a couple of years, if left untreated.

Causes glaucoma

Glaucoma can occur without any cause, but many factors can affect the condition. The most important of these risk factors is intraocular eye pressure. Our eyes produce a fluid called aqueous humor that nourishes them. This liquid flows from the posterior chamber, through our pupil to the anterior chamber n the front of our eye. In a healthy eye, the fluid drains through mesh-like canals (trabecular meshwork), which is where our iris and cornea come together at an angle.

With glaucoma, the resistance increases in your drainage canals. The fluid has nowhere to go, so it builds up in our eye. This excess fluid puts pressure on our eye. Eventually, this elevated eye pressure can damage our optic nerve and lead to glaucoma.

What makes the fluid build up can vary, depending on the specific overall type of glaucoma the patient has. Secondary glaucoma can be caused by:

     •       Blunt injury to the eye
•       Chemical damage to the eye
•       Severe eye infection
•       Inflammatory conditions of the eye (Uveitis)

                             

 Types of glaucoma

There are many different types of glaucoma:

• Primary open-angle glaucoma. “Open-angle” means that the drainage angle, where the inside of the sclera and the outer edge of the iris meet, is open wide. Aqueous humor flows into the drainage angle so it can drain out of the anterior chamber. This is the most common type of glaucoma.
• Primary angle-closure glaucoma. Aqueous humor fluid is supposed to flow from the posterior chamber behind our iris, through our pupil, and into the anterior chamber. But sometimes, the lens of our eye presses too far forward, blocking fluid from flowing through the pupil opening. The extra fluid in the posterior chamber forces the iris forward, narrowing or closing off the drainage angle.
• Secondary glaucoma. This is when another condition or event increases eye pressure, which leads to glaucoma. Conditions that can cause it include eye injuries, pigmentary dispersion syndrome, uveitis, certain medications (especially corticosteroids and cycloplegics), eye procedures and more.
• Congenital glaucoma. Child is born with glaucoma because of abberation in fetal development of the eye. These include Aniridia, Axenfeld-Rieger syndrome, Marfan syndrome, congenital rubella syndrome and neurofibromatosis type 1.

Symptoms of glaucoma

In its early stages, glaucoma may not cause any symptoms. That’s why up to most of the people in India with glaucoma may not know they have it. And symptoms may not appear until this condition causes irreversible damage.

Some of the more common glaucoma symptoms include:

• Eye pain or pressure
• Headaches
• Red or bloodshot eyes
• Blurred vision
• Gradually developing diminution of vision
• Gradually developing blind spots (scotomas) or visual field defects like tunnel vision

 

Some types of glaucoma, particularly angle closure glaucoma, can cause sudden, severe symptoms that need immediate medical attention to prevent permanent vision loss. Emergency glaucoma symptoms include:

• Blood gathering in front of your iris (hyphema)
• Nausea and vomiting that happen with eye pain/pressure
• Rainbow-colored halos around lights
• Sudden appearance or increase in floaters (myodesopsias)
• Sudden vision loss of any kind
• Suddenly seeing flashing lights (photopsias) in your vision
• Sudden hazy or blurred vision

 

Risk factors for glaucoma

Several risk factors can contribute to glaucoma. They include:

• Age. Most types of glaucoma affect people age 40 and older (congenital types are the biggest exception to this). Experts estimate that 10% of people age 75 and older have glaucoma.
• Race. Black people have a much higher risk of developing primary open-angle glaucoma, especially people of Afro-Caribbean descent. People of African descent are 15 times more likely to have blindness from open-angle glaucoma. People of Asian and Inuit descent have a higher risk of angle-closure glaucoma.
• Sex. Women have a higher risk of angle-closure glaucoma. Experts suspect this is mainly because of sex-linked differences in eye anatomy.
• Refractive errors. People with myopia have a higher risk of open-angle glaucoma. People with hypermetropia have a higher risk of angle-closure glaucoma.
• Family history. There’s evidence that a family history of glaucoma, especially a first-degree biological relative (a parent, child or sibling), means you also have a higher risk of developing it. And several conditions that cause secondary glaucoma are genetic, too.
• Chronic conditions.  Patients with hypertension and diabetes have much higher odds of developing glaucoma. Patients on steroids are also at a higher risk of developing glaucoma.

 

Preventative Measures Against Glaucoma:

1) Healthy Diet - Green leafy vegetables are high in chlorophyll, which is a vital component that improves vision and protects against glaucoma. Spinach, kale, beetroot, and carrots, are all useful. The omega-3 fatty acids of cold water fish are also beneficial. 

 

2) Eye Exercises - Eye exercises prevent strain and sharpen concentration.

(a)  The Pencil Exercise - Hold a pencil at arm’s length and focus on it, slowly bring it closer to your nose. Move the pencil farther from your eyes until you can no longer keep it in focus. Perform this exercise about ten times a day.

(b)The Eye Rolling Exercise - Roll your eyes in a clockwise direction for a few seconds, and then counter-clockwise for a few seconds. Repeat the process four or five times, and blink your eyes in between each set.

(c) The Eye Blinking Exercise - Try blinking your eyes in quick spurts, 20 to 30 times without squeezing your eyes shut, which is known as eyelid fluttering. Close your eyes and let them rest for a while after you are done. 

(d)The Concentration Exercise - Focus your vision on a distant object for a short period. Try staring at the moon outside for a few minutes to avoid straining of the eyes. 

3) Sunning and Palming - The Bates Method of sunning and palming, helps flex and reactivate the lens of the eye.

(a)The Sunning Process - Let the sun shine directly onto your closed eyelids, while breathing in deeply. You can sun in the morning for a couple of minutes. 

(b) The Palming Process - Rub your palms together to generate heat and then gently cup them over your closed eyes without applying any pressure. Keep your eyes covered so that no trace of light can enter. 

4) A few other preventive measures

     •       Avoid long hours of watching television
•       Maintain a working distance of 18 inches at least.
•       Wear sunglasses with anti glare
•       Insist on good lighting for reading books and newspapers to avoid strain to eye         muscles.
•       Correction of refractory error and wearing correct prescription glasses.
•       Visual breaks every 20 minutes – rest to the eyes
•       Good night sleep is a must
 

I have to thank my batch mates, Dr. Jaideep Datta and Prof. Poonam Kishore for sharing the memories of their residency days in the Department of Ophthalmology and for scientifically validating the lecture for me. I personally know Prof. Garg’s sons Vinay, an ophthalmologist  and Sandeep, an orthopedic surgeon who are both practicing in Lucknow and are keeping the proud and precious family banner flying high!

MICRO-BREAKS: BOTH HEALTHY AND PERFORMANCE ENHANCING

 

For large sectors of the working population, spending all or a portion of the week working from home has become part of the ‘new normal’ working landscape. Working from home is also known as teleworking, and while there are likely to be positive consequences of this shift in working practices (e.g., reduction in commuting time, opportunities for better work: life balance), there are also potentially unintended adverse health effects

Those who work in an office already know that they tend to sit for most of their day. Although many people have transitioned in recent years to working full-time from home, enjoying a level of freedom they didn’t have in the office, many do not utilize this freedom properly. In most cases, people working from home still sit on a chair in front of the computer for many hours throughout the day.

Niven, A., Baker, G., Almeida, E.C. et al. in an interesting study “Are We Working (Too) Comfortably?”: Understanding the Nature of and Factors Associated with Sedentary Behaviour When Working in the Home Environment [Occup Health Sci 7, 71–88 (2023). https://doi.org/10.1007/s41542-022-00128-6] showed that people working from home tend to sit even more than those working in an office, and considering all the negative health effects of prolonged sitting, we need to learn how to cope with it to prevent them. The trick is very simple – micro-breaks.

 

What are Micro-Breaks?

Micro-breaks are very short breaks lasting just a few minutes. Even without doing stretching exercises, these micro-breaks help muscles adopt a different posture from the one they’ve been in for long minutes, allowing them to rest a bit. Of course, engaging the body during these breaks is more effective, but the key is simply to stop what you were doing—namely, sitting—and do something else.

Rather than pushing through our work, these micro breaks can help us address any immediate physical, mental, or emotional needs. They are proven to improve performance, motivation, and concentration and increase overall wellbeing. They can also decrease stress, and even improve how you see your job, which may help you avoid common work-related injuries. Micro breaks can revitalize you in the short term, allowing you to feel more resilient when challenges arise, and protecting you from burnout in the long term.

 

 

How Often Should You Take Micro-Breaks?

Micro-breaks can last one minute or even up to 10 minutes, depending on your body’s condition. For example, studies found that for those with high blood pressure, a 5-minute break is recommended [Duran et. al . Breaking Up Prolonged Sitting to Improve Cardiometabolic Risk: Dose–Response Analysis of a Randomized Crossover Trial. Medicine & Science in Sports & Exercise 55(5):p 847-855, May 2023. | DOI: 10.1249/MSS.0000000000003109]. What’s truly important is to take such a break every 20-30 minutes. This could be a bathroom break, drinking a glass of water in the kitchen, or simply standing and doing a short breathing exercise.

 

The Health Benefits of Micro-Breaks

This topic has been studied extensively, and researchers have discovered many benefits to micro-breaks. Here are three of the most prominent ones:

1. Reducing Pain Related to the Musculoskeletal System

The original idea behind micro-breaks was to reduce the pain experienced by office workers. A study published in 2021 showed that micro-breaks indeed help reduce muscle fatigue, and you’ll feel the impact immediately once you start [Radwan, A., Barnes, L., DeResh, R., Englund, C., & Gribanoff, S. (2022). Effects of active microbreaks on the physical and mental well-being of office workers: A systematic review. Cogent Engineering, 9(1). https://doi.org/10.1080/23311916.2022.2026206]. If you tend to experience any discomfort in your back or shoulders after prolonged sitting, try micro-breaks and see if they reduce the strain and pain.

2. Increased Energy Levels and Improved Concentration

A 2022 study showed that micro-breaks can restore energy to the body and prevent fatigue [Albulescu P, Macsinga I, Rusu A, Sulea C, Bodnaru A, Tulbure BT. "Give me a break!" A systematic review and meta-analysis on the efficacy of micro-breaks for increasing well-being and performance. PLoS One. 2022 Aug 31;17(8):e0272460. doi: 10.1371/journal.pone.0272460. PMID: 36044424; PMCID: PMC9432722]. You’ll feel this effect especially during the hours when you tend to lose energy, such as after lunch or toward the evening. Furthermore, researchers suggest that micro-breaks can help tackle very challenging work tasks by resetting your concentration. For this, a 10-minute break is recommended.

3. Improved Mental Health

A small study conducted in 2020 found that micro-breaks improved the mental health of office workers [Mainsbridge CP et.al. Taking a Stand for Office-Based Workers' Mental Health: The Return of the Microbreak. Front Public Health. 2020 Jun 11;8:215. doi: 10.3389/fpubh.2020.00215. PMID: 32596199; PMCID: PMC7300182]. Another study from 2022 showed that micro-breaks helped nurses cope with stress at work and this was during the COVID-19 period [Wang H, Xu G, Liang C, Li Z. Coping with job stress for hospital nurses during the COVID-19 crisis: The joint roles of micro-breaks and psychological detachment. J Nurs Manag. 2022 Oct;30(7):2116-2125. doi: 10.1111/jonm.13431. Epub 2021 Aug 25. PMID: 34327761]. If you feel that some days at work are overwhelming, try incorporating micro-breaks. Simply give yourself a chance to disconnect from work for a few moments before returning, and do so frequently.

 4. Improve efficiency

As mental and physical tiredness sets in, concentration, memory, and efficiency can decline. Micro breaks help by resetting the brain's focus, making it easier to tackle tasks with renewed energy and attention. This can enhance the quality and speed of work, and also stimulate creativity, as giving the brain time to rest allows for subconscious processing that can lead to creative thinking and problem-solving.

5. Improve Job satisfaction

Job satisfaction is closely linked to the work environment and your ability to manage stress and workload. By adding microbreaks into the daily routine, employees feel more in control of their workday, leading to higher job satisfaction. This positive attitude can improve the workplace atmosphere, and encourage a culture of wellbeing and support. 

6. Prevent Burnout

Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. It can lead to a significant drop in productivity, feelings of detachment, and a loss of personal identity. Micro breaks can help prevent burnout by ensuring that employees have regular opportunities to rest and recharge. This not only preserves preserves long term health and wellbeing but also maintains enthusiasm and motivation for work. 

Are There Any Downsides to Micro-Breaks?

Like everything in life, micro-breaks have both advantages and disadvantages, including:

1.      Disruption to Workflow: Since you’re “committed” to disconnecting from work every 20-30 minutes, this might happen just when you’re in a flow state.

2.      Difficulty Returning to Focous: While micro-breaks can reset concentration in situations where it’s hard to maintain, they might also do the opposite—disrupt you when you’re most focused, making it hard to return to the same level of concentration afterward.

3.      Timing Challenges: Depending on the type of work you do, you might find it difficult to time micro-breaks exactly as recommended. This might be easier for those working from home or on their own schedule but problematic for those managing meetings, for example.

 

Tips for Incorporating Micro-Breaks into Your Workday

On the surface, it sounds simple—get up from your chair every half hour for 2 minutes. And it is simple, but it requires consistency. These tips will help you stick to this new technique to improve your workday and health:

·        Create Reminders: If you’re not used to working in short bursts, you might need a reminder to get up after 20-30 minutes. Set an alarm to track the times when you should take a micro-break.

·        Do a Different Activity Each Break: Create a list of activities you want to incorporate into your day—ones that can be completed in a few minutes. This will help you complete tasks or things you wanted to do but didn’t find time for.

·        Consider Your Needs: If you feel tired and need an energy boost, do light physical activity during the micro-break. If, on the other hand, you feel unfocused at work, try a calming activity to clear your mind.

·        Be Flexible and Patient: It’s not “all or nothing.” There will be times when you can’t take a scheduled micro-break, and even days when you can’t take a single one properly. That’s okay. The key is not to give up. Eventually, it will become a healthy habit.

 

Micro-breaks are a wonderful way to help the body avoid the harms of prolonged sitting. They allow us to create a framework that ensures we get up from the chair from time to time to do important or desired activities, or simply to restore the energy, focus, and calm needed for work. Try it for a week and see how you feel. You can also share this article with a friend and do this experiment together for a week or more. You’ll see that you’ll want to continue!  

BENEFITS OF LEG ELEVATION

 

Leg elevation is the practice of raising your legs above the level of your heart. Whether you're lying down or sitting up, the goal is to get your feet and legs lifted up and above your heart to allow gravity to assist circulation.  Make sure your legs are comfortably supported, without any pressure points or awkward angles.

Getting a good night’s sleep is one of the fundamental rules of good health and wellbeing. Unfortunately, for many, it is also a rare luxury. Those who suffer from chronic pain, sleep apnea, and other bothersome health conditions often struggle to maintain a healthy sleep schedule, which, in turn, increases their risk of several dangerous diseases. If you find it difficult to fall asleep or stay asleep at night, one of the first things you should consider is your sleeping position. The way you sleep may not match up with your body’s needs. A person suffering from chronic back pain, for example, will continue tossing and turning in pain all night if they sleep in a position that puts tension on their back. An often overlooked sleep position that has tremendous benefits for folks suffering from certain underlying conditions is sleeping with your legs elevated.

 

The Benefits of Sleeping With Elevated Legs

1. Relieves lower back pain

Chronic back pain can interfere with your sleep without you even realizing it. If you’re suffering from any kind of lower back pain, be it sciatic nerve pain, a pinched nerve, or joint pain, sleeping with legs elevated can be immensely helpful. Sleeping on your back, in general, is beneficial for back pain because it distributes your weight as evenly as possible, so it reduces the risk of spinal disc compression. To promote the natural curvature of the spine and reduce the pressure off the spinal column even further, put a bolster or pillow under your knees. Sleeping in this position will make sleep more comfortable for you and offers relief from lower back pain as well.

 

2. Improves blood circulation

Poor blood circulation in the legs is not uncommon, and it dramatically increases one’s risk of blood clots and potentially life-threatening conditions like deep vein thrombosis and stroke. Elevating your legs 6-12 inches (15-30 cm) above your heart will improve blood flow from your legs toward your heart, essentially boosting blood circulation in the lower extremities. It all boils down to simple physics. Whenever your legs are below the level of your heart (e.g. when standing), the blood in the leg veins must work against gravity to return to the heart. Simply elevating your legs makes gravity work for instead of against you, improving blood flow. This position also means that your heart won’t need to pump as much, which means that elevating your legs is also beneficial for heart health.

 

3. Reduces swelling in the legs

Things like inflammation or edema (fluid trapped in the tissues, usually in the feet, ankles, and legs) can lead to soreness and swelling in the lower extremities. Many health conditions, such as chronic cardiovascular or lung diseases, as well as a diet high in salt or prolonged periods of sitting or standing, can contribute to swelling in the legs. The condition can be quite painful and may interfere with your sleep. Similar to the way leg elevation improves blood circulation, it can also aid in draining away trapped fluids from your legs. If you suffer from swollen feet, this may be the best sleeping position for you. Lymphatic obstructions as seen in filarial disease can also be contained by limb elevation.  

 

4. Lowers venous pressure

If you have to stand or sit for long periods of time, it can make blood difficult to drain from the veins in the lower body. The collected blood, in turn, creates excess pressure in veins. This pressure equals soreness and tension in the legs, and it is believed to cause varicose veins too. Lowering of venous pressure is also helpful for treating spider nevi, chronic venous insufficiency, and deep vein thrombosis (DVT).

 

5. Relieves muscle tension

Leg elevation provides significant comfort and eases muscle tension, which is especially beneficial for those engaged in professions that require prolonged hours of standing or sitting.

 

6. Reduces risk of developing leg ulcers

Elevating your legs can help reduce the risk of developing leg ulcers by improving microcirculation and oxygen delivery to the affected limb. When legs are raised above heart level, gravity assists in the return of blood from the legs to the heart, which can help reduce swelling and pressure in the veins of the legs. This reduced blood pressure can help prevent the development of venous leg ulcers. Additionally, leg elevation can hasten the healing process of existing ulcers by improving oxygen delivery to the wound, promoting faster tissue repair, and lowering the risk of skin infection.

 

7. Beneficial during pregnancy

During pregnancy, women experience increased fluid retention, swelling, and fatigue in their legs due to increased blood volume and hormonal changes. Leg elevation is considered safe and beneficial during pregnancy. It helps alleviate common discomforts like leg pain, swelling, fatigue, and varicose veins due to increased weight and hormonal changes.

 

8. Helps post-operative healing

Post-operative care often involves leg elevation and for a good reason. It helps to decrease swelling, reduce discomfort, and speed up the healing process. If you've recently undergone a surgical procedure, it might be beneficial to spend some time each day with your legs raised. 

 

9. Relieves symptoms of varicose veins

Varicose veins are visibly twisted and inflamed veins that are particularly common among people who work standing jobs. Raising your legs at night will bring relief to tired feet and lower the pressure in the lower body too. Elevating your legs can help relieve the symptoms of varicose veins by improving blood circulation and reducing inflammation. The physiological reason behind this relief lies in the fact that the valves in the leg veins, responsible for returning blood to the heart, can become weak. This weakness results in blood pools in the veins, largely due to the force of gravity.

When you elevate your legs above the level of your heart, it assists these veins in overcoming gravity's effect, allowing blood to flow more efficiently in the right direction to surrounding muscles. This enhanced blood flow reduces the swelling and pressure in the veins, thereby alleviating the discomfort associated with varicose veins.

 

10. Helps to prevent blood clotting in leg veins

Elevating your legs can help prevent blood clots by improving venous circulation. This is particularly beneficial for deep vein thrombosis (DVT), a condition where blood clot forms in deep veins of the lower legs. By using a leg elevation pillow or simply raising your legs above your heart level, you can enhance blood flow and reduce the risk of clots. This position alleviates pressure in your veins, allowing blood to flow more freely and reducing the chance of blood clot formation.

 

Who can benefit from sleeping with their legs raised?

·        Lower back pain sufferers - Those who have sciatica or a pinched nerve

·        People recovering from injuries to the legs or feet

·        After surgery

·        Patients with chronic joint conditions

·        Those who have vein conditions, such as varicose veins or superficial thrombophlebitis

·        Deep vein thrombosis sufferers

·        Chronic venous insufficiency patients

·        Pregnant persons

·        Anyone suffering from edema.

 

How to safely elevate the legs during sleep?

The use of a pillow or bolster is certainly the cheapest and easiest way to elevate your legs. Automated adjustable mattresses or bed frames are an even better choice, but they can be very expensive, so we don’t recommend them to beginners. To remedy back pain, one small pillow underneath the knees will suffice, but other conditions may require using several blankets and large pillows to elevate your legs above the heart.

There's a right and a wrong way to elevate your legs. How do you make sure you're doing it correctly to reap the maximum benefits? Let's walk through it together. 

• Find a comfortable and flat surface where you can lie down, such as a bed or couch.
• Use a pillow specifically designed for leg elevation, or you can use cushions as a substitute. But avoid using a regular pillow as it may not provide the right angle and support needed.
• Lie down and put your legs up, ensuring they are above the level of your heart. This helps blood to circulate back to the heart without fighting gravity.
• Make sure your legs are not crossed or bent at the knee when elevated. This can restrict blood flow and counteract the benefits. Keep your legs straight, parallel to each other, and try to relax as much as possible. 
• Like any good health habit, consistency is vital. Make leg elevation a part of your daily routine. Consider doing it while you're watching TV, reading a book, or even while you're snoozing at night.

 

Here are a few tips to consider if you want to try sleeping with elevated legs:

1. Practice on the couch. A new sleeping position may feel unusual at first, so before you commit to a full night of sleep with your legs raised, try the position as you’re relaxing on the couch. This will help you transition more smoothly.

2. Start low. Everyone is different, and your individual needs may not require you to stack up 2-3 pillows every night before bed. Start with one pillow under your knees, get used to the position, and then add one more to see if that helps even more, and so on, until you find the best position for you.

3. You don’t need to sleep with your legs up all night. It all depends on the condition you want to address. For edema, for example, a few hours of sleep or just sitting with your legs up can help drain the excess fluids, whereas patients with lower back pain may feel that they need a whole night of sleep in this position to experience the most benefits. So we encourage you to play around with the time.

4. While leg elevation can be great, there's no need to overdo it. Long periods without movement might lead to stiffness. Aim for 15 to 30-minute sessions, several times a day. Always listen to your body and adjust as needed.

What happens if you elevate your legs for too long?

Elevating your legs for long periods could potentially lead to blood pooling in your upper body. This might result in dizziness or headaches when you sit or stand up.  It may pose potential risks in certain situations. For instance, elevating your legs too high could potentially lead to discomfort or even decreased circulation. Finding that sweet spot, where your legs are elevated just above the level of your heart, is key. 

If you have any pre-existing medical conditions like diabetes, peripheral artery disease, or any form of heart disease, it's crucial to consult with your healthcare provider before starting a regular leg elevation routine.

 

Leg elevation isn't just about relaxation. It's about maintaining your health, managing discomfort, and most importantly, investing in your quality of life. So why wait? Elevate today for a healthier tomorrow!