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I'm a shopping editor and this orthopaedic hybrid mattress is a must if you suffer with a bad back - and it's on sale right now
I'm a shopping editor and this orthopaedic hybrid mattress is a must if you suffer with a bad back - and it's on sale right now

Daily Mail​

time3 days ago

  • Health
  • Daily Mail​

I'm a shopping editor and this orthopaedic hybrid mattress is a must if you suffer with a bad back - and it's on sale right now

A firm support, back care mattress designed to help tackle the UK's growing back pain crisis and loved by hundreds of shoppers, is now on sale, so you can invest in your sleep for less. In a deal frustrated sleepers aren't going to want to miss, REM-FIT is offering their REM-Fit® 500 Ortho Hybrid Mattress for 12 per cent off with a limited-time code. Made with a special performance foam, this mattress provides enhanced support and prevents sagging, ensuring a stable and durable sleeping surface. And shoppers are leaving impressive reviews. REM-Fit® 500 Ortho Hybrid Mattress (Double) The REM-Fit® 500 Ortho Hybrid Mattress is designed specifically for those who need firm, targeted back support without sacrificing comfort. Designed to help align your spine and relieve pressure on key joints thanks to its firm tension, 2,000 pocket springs and high-density foam, it combines the bounce of a hybrid with the stability of an orthopaedic mattress. Use discount code BACKCARE to save 12 per cent off. £571.99 (save £78) Shop Leveraging advanced sleep technology with no less than six advanced layers of support and comfort, REM-FIT's award-winning hybrid mattress range caters for all shapes, sizes and sleeping positions. And if you're waking up with a stiff back or aches, then the clinically inspired 500 Ortho Mattress could be well worth a closer look, especially as it's on sale with the code BACKCARE. A top choice for back pain, adding zoned pressure relief to keep the spine in perfect alignment, the mattress has been hailed 'extremely supportive and very comfortable' by shoppers. And it can be yours for £571.99 for a double. While there is not a one-size-fits-all solution to backache, nor is there a quick solution, changing your mattress could be the first step in addressing the problem. And one brand that keeps being recommended by shoppers is REM-FIT and their 500 Ortho Hybrid Mattress. Offering firm tension, so it doesn't sag or arch your back, it helps to reduce strain on muscles, ligaments, and discs. The multi zoned visco memory foam not only keeps your back aligned but it has a breathable, open-cell memory foam that prevents over heating so you can hopefully sleep the whole night through without waking. In short, it's this combination of clinical design with REM-Fit's advanced sleep tech that has led it to become a favourite with shoppers. One of which enthusiastically wrote: 'My sleep quality had improved drastically - possibly due to the reduction of tossing and turning!'. Not only is the REM-Fit® 500 Ortho Hybrid Mattress deemed 'excellent' by individuals with back pain, the 2,000 pressure relieving pocket springs are to thank for this too, but it's also proved a winner with couples. The ortho mattress has been designed with motion isolation, helping minimise the motion transferred across the bed. So even if your partner gets up in the night or early to leave for work, you can remain sleeping soundly. 'Very firm, but comfortable at the same time' wrote one impressed shopper. 'Haven't woken with any aches and pains. Highly recommend this one if you are looking for an orthopaedic mattress.' Another agreed, adding: 'I bought the mattress after suffering several chronic herniated discs. I have not had a crisis since using this mattress. 10/10 would recommend to anyone.' Those looking for a new mattress can now use the discount code BACKCARE. This code will deduct 12 per cent off all products.

The 6 Best Orthopedic Dog Beds For Pups Of All Ages And Sizes
The 6 Best Orthopedic Dog Beds For Pups Of All Ages And Sizes

Forbes

time4 days ago

  • Health
  • Forbes

The 6 Best Orthopedic Dog Beds For Pups Of All Ages And Sizes

Not every dog bed labeled "orthopedic" actually supports your dog's joints. The best orthopedic dog beds use high-quality memory foam designed specifically to relieve pressure from sensitive areas like your pup's hips, elbows and spine, without flattening after a few months of use. Beds like the Casper Dog Bed, our top pick overall, evenly distribute your dog's weight and provide comfort that standard beds simply can't match—especially for senior dogs, large breeds or pups recovering from surgery. The best orthopedic dog beds, from brands like Casper, Orvis and more, can protect your pup's joints ... More and help them rest more comfortably. If you're wondering whether your dog needs better support, start by observing their sleep habits. 'Discomfort may not always be obvious," says Dr. Jennifer Bruns, veterinarian at PetSmart Veterinary Services. "Dogs may avoid their bed entirely or prefer lying on the floor if the bed is not supportive enough.' Small behavioral clues like these can reveal if your pup would benefit from an orthopedic upgrade. To help you choose a dog bed that's right for them, we've included a range of tested and expert-approved picks, like the Orvis RecoveryZone ToughChew Couch Dog Bed, which is durable enough to survive dogs who might normally shred up a bed in days, and the Sealy Lux Pet Dog Bed, designed specifically to keep pups cool. Whatever your dog's needs, the right orthopedic bed can noticeably improve how comfortably they sleep and the ease with which they move afterward. Casper Sleep Type: Bolstered rectangle | Sizes: 3 | Colors: 3, including Gray, Blue and Sand | Outer material: Nylon, polyester and olefin microfiber | Inner material: Memory foam, polyurethane support foam | Washable cover: Yes What you'll love: Keep in mind: Many of the dog beds we've tested feel comfortable at first but start sinking and losing their support after just a few months. Casper's bed solves this problem with two layers of foam: a sturdy polyurethane foam base that gives the bed structure and keeps your dog properly elevated, plus a memory foam layer on top that cushions joints and evenly distributes weight. Forbes Vetted senior mattress editor Bridget Chapman says her dog has slept on the Casper bed daily for more than a year, and it still feels just as firm and supportive as it did on day one. (Her pup still loves it, too.) The Casper also has firm foam bolsters around the edges, which provide dogs with a cozy spot to rest their heads or curl up against. Its cover is soft, durable and easy to unzip and toss in the washing machine (though it does take a little more effort to get back on), and the zippers tuck neatly into hidden pockets so they won't scratch your floors. There's also some slightly loose fabric on top, which is intentionally designed for dogs who like to paw and dig around before getting comfy; it's made from tough, bonded microfiber that doesn't easily rip, even if your pup makes digging a regular habit. (Though if something does happen, replacement covers are sold separately.) Forbes Vetted managing editor Emmy Favilla says her dog often takes advantage of this feature, happily pawing at the material before settling in for a nap. And because it has a clean, understated look, the Casper blends easily into just about any room—something our editors have appreciated after months, or even years, of having it in their homes. FurHaven Type: Bolstered rectangle | Sizes: 5 | Colors: 3, including Brownstone and Granite Gray | Outer material: Velvet microfiber | Inner material: Orthopedic foam (convolute, solid or memory foam) | Washable cover: Yes What you'll love: Keep in mind: Orthopedic dog beds can be expensive, and if you're shopping for a puppy or an older dog, it doesn't always make sense to splurge. That's why I originally bought the FurHaven Sofa Dog Bed—and why I've repurchased it multiple times since. It's less than half the cost of many premium options (under $60 for a large size), but this bed still provides supportive cushioning that gives dogs of all ages the comfort and joint support they need. The foam isn't quite as thick or dense as pricier beds, but even after a few years, it still hasn't flattened down to the floor. FurHaven also lets you choose from a few types of foam, including egg-crate convolute foam, solid orthopedic foam and responsive memory foam, depending on what your dog needs. I've tested multiple versions and found each comfortable and supportive enough for my 50-pound dog (and roomy enough for another 40-pound pup to squeeze in). The soft velvet-like cover washes easily, hides fur very well and hasn't ripped after countless cycles in my machine. Putting the bolsters and foam back inside after cleaning does take a little patience, but that's pretty typical for washable dog beds. Amazon Type: Bolstered rectangle | Sizes: 5 | Colors: 3, including Autumn Brown, Modern Gray and Navy | Outer material: Faux-felt polyester | Inner material: Quad-layer memory foam and cooling gel | Washable cover: Yes What you'll love: Keep in mind: If your dog overheats easily or struggles to settle comfortably, a cooling orthopedic bed might be particularly beneficial. The Sealy Lux Pet Dog Bed has a four-layer foam design specifically meant to keep dogs cooler and relieve pressure from sensitive joints. The top layer uses cooling gel to draw heat away from your dog's body, which makes a noticeable difference in warm weather. Beneath that, a memory foam layer contours to your dog's shape, and supportive foam underneath keeps your dog elevated off the floor. Another helpful feature is the charcoal-infused bottom layer, which is designed to absorb pet odors and keep the bed fresher between washes. When it is time to clean the bed, the polyester cover zips off easily and can be tossed directly into the washing machine. This bed also has bolstered edges on three sides, giving pups a comfortable place to rest their heads or curl up against something supportive. Meanwhile, the open front makes it easy for older pets, dogs with joint pain or pups recovering from injuries to step in without extra effort. Amazon Type: Bolstered rectangle | Sizes: 8 | Colors: 36 (though not all colors are available in every size), including Gray, Brown and Navy | Outer material: Flannel or plush flannel | Inner material: Egg-crate orthopedic foam | Washable cover: Yes What you'll love: Keep in mind: Smaller dogs often prefer beds that feel cozy and secure but aren't challenging to climb into. Bedsure's Orthopedic Dog Bed is a great pick for little pups because of its lower entry point and small front opening, a design that makes it easy for small or senior dogs to step in and out without added effort. Its egg-crate foam base is designed to cushion joints and pressure points, so it should feel especially comfortable for older small breeds or dogs recovering from injuries. The bed has four-sided bolsters to create a snug, enclosed space that smaller dogs often find comforting, especially if they like to curl up rather than stretch out. There's also a waterproof liner beneath the removable cover, which protects the foam if your dog has an accident or a spill happens. The soft flannel cover comes in dozens of colors and zips off easily whenever you need to wash it. And the bottom of the bed is designed to be non-slip, so it'll stay in place even on slippery hardwood floors. Chewy Type: Pillow with headrest | Sizes: 3 | Colors: 4, including Burgundy, Khaki and Charcoal Gray | Outer material: Microfiber | Inner material: Orthopedic foam | Washable cover: Yes What you'll love: Keep in mind: If you have a big dog, you've probably noticed that most dog beds just aren't built to handle their weight. The foam usually feels supportive at first, but within a few months it flattens out and your pup ends up practically lying on the floor. The Big Barker Orthopedic Pillow Dog Bed is designed with thick, mattress-quality foam specifically designed for larger breeds—Favilla says it feels more like lying on a human mattress than a standard dog bed. (Yes, she tested it out herself.) After several months of using the Big Barker at home, her large, arthritic senior dog consistently chose this bed over all the others in the house. Instead of sinking into the foam, large dogs stay comfortably lifted off hard surfaces, and the bed is even strong enough to support two big dogs at once; the XL size easily accommodates a couple of Labs, pit bulls or similar-sized breeds. There's also a raised pillow along one side for extra comfort, so dogs can rest their heads or lean against it without restricting how much they stretch out. Vets often recommend this type of sturdy support to help prevent joint pain, especially in bigger or older dogs. Its microfiber cover is soft, washable and does a good job resisting muddy paw prints, slobber and fur (though, like many of our favorite beds, getting it back on after washing takes a bit of patience). Just keep in mind: This bed is substantial, both in terms of price and floor space. If your dog doesn't need quite this much room, or your home is short on extra space, a smaller option like the Casper might be a better fit. Orvis Type: Bolstered rectangle | Sizes: 3 | Colors: 4, including Brown and Slate | Outer material: Ripstop nylon and polyester | Inner material: Dual-layer orthopedic foam | Washable cover: Yes What you'll love: Keep in mind: The Orvis RecoveryZone ToughChew Couch Dog Bed is specifically built for pups determined to rip apart everything they sleep on. Unlike typical dog beds, this one has a rugged, upholstery-grade cover reinforced with ripstop nylon beneath—similar to fabric used for backpacks or camping gear—so it's almost impossible for teeth or claws to tear through. Hidden brass zippers and built-in handles are intentionally tucked out of sight, further limiting tempting chew targets. And just in case your dog somehow does manage to chew through it, Orvis backs this bed with a no-questions-asked, money-back guarantee. Inside, the bed is designed to provide strong orthopedic support, with a dense 4-inch foam base and an additional softer layer on top that helps ease pressure from joints and sore muscles. Solid foam bolsters around three sides create a secure space that many dogs naturally gravitate toward, while the front is open for easy access. The washable cover does a surprisingly good job at hiding fur and dirt, and there's a waterproof liner underneath so the foam won't get ruined even if your pup has an accident. It's definitely pricier than other beds, but if you're tired of tossing shredded covers into the trash, the investment makes sense. The Forbes Vetted team is made up of pet parents who regularly research, test and recommend pet products, including the best dog beds, the best dry dog food and the best dog leashes. For this guide to the best orthopedic dog beds, we relied on firsthand experience with many of these beds, plus extensive research and consultations with veterinary experts. To find the best orthopedic dog beds, we combined long-term personal use, in-depth product research and insights from trusted veterinary professionals to ensure each recommendation is worth your investment. Buying an orthopedic dog bed involves more than just choosing one labeled as 'orthopedic.' To ensure your dog benefits from improved joint health and comfort, here's what veterinary experts recommend looking for. The most important feature in an orthopedic dog bed is the foam. Look specifically for high-density memory foam or a multilayered orthopedic foam base that's firm enough to prevent sinking. Bruns says true orthopedic beds 'provide proper joint support and even weight distribution to minimize pressure points on sensitive areas like hips and elbows.' Waggel's resident veterinarian Dr. Aimee Warner adds a simple test: 'Push your hand into the foam," she says. "If it slowly comes back and maintains its shape, you're likely seeing real support and not just marketing.' Bolstered edges around the bed, like those you see on picks like the Casper and Bedsurebeds on this list, aren't just decorative. 'Side bolsters are a welcome addition, especially for dogs who curl up or need head and neck support,' says Warner. But accessibility also matters, particularly for older or mobility-challenged pets. Bruns advises pet owners to choose a bed that's easy for dogs to step onto, noting that low-profile designs without steep edges or high bolsters minimize strain and reduce discomfort. Orthopedic beds typically represent a bigger investment, so it's important that they're both durable and easy to clean. According to Warner, washable covers are essential—especially for older dogs prone to accidents or those recovering from procedures. 'Neglecting to seek out washable covers can be a hygiene nightmare,' she says. Look for beds with removable covers that are machine washable (like every pick on our list) and ideally water-resistant to resist drool, dirt and accidents. Regularly cleaning and occasionally rotating the bed will also help extend its lifespan and keep your dog's sleeping area clean and comfortable.

Going From Resident to Attending Can Be ‘Scary, Lonely'
Going From Resident to Attending Can Be ‘Scary, Lonely'

Medscape

time23-05-2025

  • Health
  • Medscape

Going From Resident to Attending Can Be ‘Scary, Lonely'

Alex Jahangir, MD, was thrilled 16 years ago to land a job as an orthopedic trauma surgeon at Vanderbilt University Medical Center in Nashville, Tennessee. But between the time he was hired and the time he started his job, turmoil erupted within the department leaving him without much support. Alex Jahangir, MD One of the partners in the practice became ill, and 'a lot of extra hands' were needed, Jahangir said. Yet several other surgeons had left. When he arrived for his first day of work, he didn't have an office space or a parking badge, and he was the only doctor taking calls for the team. 'What have you gotten yourself into?' he recalls his wife asking him. Once a physician completes residency or fellowship training and becomes an attending physician, 'the buck stops with you,' Jahangir told Medscape Medical News . Even for physicians entering jobs without the turmoil Jahangir experienced in his department, the transition to attending is not easy. 'Truly…it's scary, it's hard, it can be very lonely…,' he said. 'As an attending, all of a sudden you realize people will listen to you and…maybe you're not fully sure that's the right thing to do or say, but you recognize 'Hey…this is what I have to do,'' Jahangir said. Residency training is generally done in a stepwise fashion with increasing levels of responsibility over the years, said John Allen, MD, assistant dean of student affairs at the University of Maryland School of Medicine in Baltimore. Most young attendings are 'very well prepared and able to jump right in,' he said. Still, becoming an attending is a transition. 'The biggest difference to me was things that felt routine when I was a resident — when I had that safety net — suddenly felt like much higher stakes when I was an attending,' Allen said. What are the best ways to navigate the transition from resident to attending with the accompanying shifts in responsibility and accountability? Medscape Medical News reached out to experts in the field to get their take. 'So Hard' 'The first year is so hard because we all have complications. We all feel the stress of everything, thinking you should have all the answers,' said Jahangir, who now serves as vice chair in the Department of Orthopaedic Surgery and senior vice president for Provider Network Development at Vanderbilt University Medical Center. John Allen, MD Young doctors need to recognize what they don't know, Allen said, adding that this self-awareness is important at all levels of training but becomes even more key when doctors become attendings. It's important to realize that mistakes can happen, Jahangir think you're the only one who has ever had this happen, he said. Staying up to date on medical guidelines and research becomes more self-driven as an attending, Allen said. Continuing medical education is more 'curated' during training years and that changes as an attending. 'Make sure that you're reading. Staying current becomes more of something you have to deliberately do as an attending,' Allen said. At the same time, a little grace is good. Recognize that it is normal to feels self-aware that you don't have much experience as a new attending. Imposter syndrome is real, Allen said. 'A lot of people do experience that when they're a new attending,' he said. 'As you settle in and realize that you're making good decisions, you are helping, that imposter syndrome does tend to lift over time.' Only after 16 years of practice can Jahangir finally say that when a student or resident approaches him to discuss a patient case, based on his breadth of knowledge in orthopedic trauma surgery, 'I probably have seen it or have heard about it or could have an intelligent conversation about it,' he said. Not only the practice of medicine but also people skills matter, Jahangir said. For example, if early career surgeons don't learn certain skills — like how to manage an operating room — well in the first year or two of practice, 'I think it leads to a cascade of bad stuff that can happen in one's career that may eventually lead you to quit medicine, or to have a bad patient outcome, or to have a bad professional or liability outcome,' Jahangir said. Be Thoughtful in Job Searching There are also steps a resident or fellow can take before becoming an attending to help ease the transition, such as being proactive when job searching, experts said. 'It's good to get a sense of the partners you're joining,' Jahangir advised and to see what the general 'gestalt' is at the practice. 'Because if you have a bunch of partners that obviously aren't, don't care and only see you as a source so they have to take less calls, that may not result to a long-term successful practice,' he said. Before signing on, early-career doctors should also ask about how the practice supports a new physician, Jahangir advised. Try to find out how many doctors have left the practice within the first 2 years of joining, he suggests. 'Practices that have physicians that stay there 20, 30 years are probably a good, functional group of people.' Maria Phillis, MD It's also crucial to read your employment contract carefully before accepting your first job out of residency or moving to a new one, said Maria Phillis, MD, an Ohio physician who is also chair of the Young Physician Section at the Ohio State Medical Association, Columbus, Ohio, a lobbying group. Phillis also has a law degree. 'Like really read it,' she said of the contract. 'Really understand what [malpractice] coverage you are being offered. If it doesn't explain in your contract what that looks like, then ask for supplemental documents or policies that exist,' she said. 'Have a really clear understanding of what it is that the hospital is willing to cover for you, whenever you leave that position,' Phillis said. Many early-career doctors change jobs within a couple of years, so it's important to make sure that you have a tail coverage that's either covered by your employer or that you're covering, Phillis said. Tail coverage applies to malpractice claims made after the physician's policy ends regarding services rendered during the policy coverage. Seek Support Once in the job, make sure to cultivate a solid support network, experts said. Just like a newly hired chief executive officer might hire a professional coach, new attending doctors should seek out support too, Jahangir said. 'It's a big job. Anytime there's a big transition into a big job, it's good to have that.' Early-career doctors might be hesitant to ask colleagues to talk through a patient case or ask for help if needed, but they should do it anyway, experts suggested. Asking for help is a sign of strength, Allen said. 'If you genuinely are not confident, phone a friend. Like ask for help. That help is still there,' Allen said. 'You may think it's not, but there are lots of ways that you can curbside a friend or run a case with a mentor.' 'It's ok to feel overwhelmed and get help,' Jahangir said. He was able to survive the chaotic start to his job in large measure because a mutual friend introduced him to someone who became a mentor — the healthcare group's deputy chief executive officer Wright Pinson, MD. Pinson saw that Jahangir was drowning, 'and he took me under his wing, and he gave me the support and he would check in on me,' Jahangir said. Get Your Financial House in Order The job is not the only thing that will change after becoming an attending. There are also personal transitions that go along with it. 'Recognize that you're transitioning not only to a new career, but your life changes such as your tax bracket changes and people approach you differently,' Jahangir said, adding that some who approach don't always do so with the greatest intent, he said. 'Like, all of a sudden every financial advisor wants to come hang out.' Make sure you have a good financial plan in place to stay secure, he advises. For example, Jahangir never thought about life insurance or disability insurance as a resident. Early-career physicians are often paying back loans and potentially have lots of credit card debt from trying to survive on a resident's salary, Phillis said. 'Now you're out of training, and you're trying to figure out what to do with your salary so that you are financially stable,' she said. More Than the Practice of Medicine Before he was invited to lead his division 8 years ago, Jahangir observed that every year there would be turnover in his department. 'And I realized that the reason people were coming and going was because nobody was thinking about the other part of it,' he said, referring to work-life balance. 'So now when we hire someone, I'm like, what is it that you, what excites you outside of medicine?' To protect personal time, Jahangir changed journal club from evening to early morning hours. He also supported team members in pursuing their outside interests. One colleague ran for political office, while another who had an interest in agriculture took a more active role on his farm. It shows 'that if you build a supportive system that people — the work's hard, but people know they come here and we'll support them professionally and personally,' Jahangir said.

Innovative ACL reconstruction now approved for patients as young as 7 years old
Innovative ACL reconstruction now approved for patients as young as 7 years old

CBS News

time09-05-2025

  • Health
  • CBS News

Innovative ACL reconstruction now approved for patients as young as 7 years old

An increasing number of young people are tearing their ACLs, and an innovative procedure is now approved for use on the youngest patients. To repair an ACL, surgeons typically borrow tissue from another part of the body, like a hamstring or quadriceps tendon, to reconstruct the ligament. Traditional ACL reconstructions can be quite painful, have a relatively high failure rate and student athletes can't always return to the same level of performance. What is BEAR procedure? The bridge-enhanced ACL restoration, or BEAR procedure, has become a more attractive option for some. The ligament is repaired, and then this collagen implant that looks like a marshmallow, bathed in the patient's own blood, is inserted into the knee to help the ligament heal. "We get this blood clot, then we get the body that creates the healing response, and then you get a healed ACL, which is really amazing because now we're keeping your own nerves, your own blood vessels," said Massachusetts-based orthopedic surgeon Dr. Scott Sigman. Surgery now available to school-aged children Sigman has performed more BEAR procedures than almost anyone in the world. The surgery was FDA-approved in 2020 for people 14 and older, but now it's available to school-age kids, as young as 7 and 8, who are increasingly injuring their ACLs. "We have these really cool new anchors that are not made out of metal, so literally we don't have to touch the growth plates. In the past, if you injured a growth plate, the leg could actually grow wrong," said Sigman. Fifteen months post-BEAR, Jonny says his knee is not only restored to the way it was, it may even be better. Now, he's back to dreaming about playing at the college level. The hope is to one day use this BEAR technique for other orthopedic injuries like rotator cuff tears or Achilles tendon ruptures.

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