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Published on: May 02, 2020
1 minute read
By: Dr Vibhash Mishra

Corona, Cricket And Telemedicine

Corona, cricket and telemedicine

As schoolboys, gossiping about cricket and cinema was our favorite pastime. Decades later when even our children are not school kids anymore, I must confess the nature of our pastime has not become any more serious. The COVID-19 lockdown has inadvertently provided a large chunk of humanity with a rare luxury. Otherwise who has the time in today’s world to stop and stay at home to catch a breath? So catching a breath is what one does these days. Call it reflection and introspection, if you will.

R Ashwin is considered something of an intellectual in the sport of cricket. The other day I happened to come across an interview in which he says we take sport too seriously. That is the large scheme of things, there are other far more important matters. That sports should be seen in a wider perspective and given a place that is not out of proportion.

That took me back by several years. To 1980 to be precise when India and England were playing the golden jubilee test. Bob Taylor was given out by the umpire but the Indian captain Gundappa Viswanath thought otherwise and insisted that he was recalled. The rest, as they say, is history. Now Viswanath himself was not an also-ran by any means. Not quite an intellectual like Ashwin, but a batting genius all the same and a giant of a human being.

We can debate the relative value of intellectuals and good human beings to society but that is not the point of my musing, although, I do believe that the world needs several-fold more good human beings than intellectuals.

Back to the point, I was closing in on.
There were curses and kudos for Viswanath. In the midst of all that, the legendary commentator Jasdev Singh made a very poignant remark - Viswanath gave away the game but kept alive the spirit to promote which sporting events are organized in the first place. Now, what is this spirit that Jasdev was referring to? Fairness? Justice? Healthy competition? Honesty? Integrity? But then, are those, not the values the world should be guided by anyway? Would the world not do well to adopt those values in wider life? Would you still say we take sports too seriously? Just reflecting.

Meanwhile, you all stay in and be safe, the principles of which are well-known by now - social distancing and hand hygiene. And don’t ignore your other health issues. It may be months before normalcy is restored. Your medical condition can get worse in the interim. You may think I am encouraging you to visit a hospital and risk being turned down for lack of capacity or catching an infection. I am not. I am asking you to think of an alternative way of seeking medical help. Have you considered telemedicine? Online consultation with a specialist anywhere in the world? Have you heard of www.secondmedic.com? That’s where we are.

Dr. Vibhash Mishra
Chief Medical Officer Second Medic Inc

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How Poor Hydration Affects Joint Health: Why Water Matters for Mobility

Water is essential for nearly every function in the human body, yet many people underestimate its importance for joint health. While hydration is commonly associated with digestion and skin health, it also plays a crucial role in maintaining smooth and pain-free joint movement.

Understanding how poor hydration affects joint health can help prevent stiffness, discomfort and long-term mobility issues.

The Role of Water in Joint Function

Joints are where two bones meet, allowing movement and flexibility. Healthy joints rely on:

Cartilage
Synovial fluid
Ligaments
Tendons

Cartilage, which cushions bones, contains a high percentage of water. Synovial fluid acts as a lubricant, reducing friction during movement.

Proper hydration ensures these components function effectively.

What Happens When You Are Dehydrated?

When the body lacks sufficient water:

Synovial fluid production may decrease
Cartilage may lose elasticity
Joint cushioning becomes less effective

This can result in stiffness and discomfort.

1. Reduced Joint Lubrication

Synovial fluid requires adequate hydration to maintain volume and viscosity.

Without enough water:

Friction between bones increases
Movement becomes less smooth
Risk of wear and tear rises

2. Increased Joint Stiffness

Dehydration may cause joints to feel tight, especially:

In the morning
After prolonged sitting
During physical activity

Stiffness may limit flexibility.

3. Higher Risk of Injury

Poorly lubricated joints may be more prone to:

Sprains
Strains
Cartilage damage

Hydration supports tissue resilience.

4. Worsening of Existing Joint Conditions

Individuals with conditions such as osteoarthritis may experience increased discomfort if hydration is inadequate.

While water does not cure arthritis, it supports overall joint function.

5. Reduced Nutrient Delivery

Water helps transport nutrients to joint tissues.

Dehydration may impair circulation and nutrient exchange, slowing tissue repair.

Signs of Dehydration That May Affect Joints

Dry mouth
Dark urine
Fatigue
Headaches
Muscle cramps
Joint stiffness

Recognizing early dehydration signs prevents complications.

How Much Water Do You Need?

Hydration needs vary depending on:

Body weight
Climate
Physical activity level
Health conditions

On average, adults may require 2–3 liters of water daily.

In hot climates such as India, higher intake may be necessary due to increased sweating.

Tips to Maintain Proper Hydration

1. Drink Water Regularly

Do not wait until you feel thirsty.

2. Eat Water-Rich Foods

Include:

Cucumbers
Watermelon
Oranges
Tomatoes

3. Limit Excessive Caffeine and Alcohol

These may contribute to fluid loss.

4. Carry a Water Bottle

Keeping water accessible encourages consistent intake.

5. Hydrate Before and After Exercise

Physical activity increases fluid loss through sweat.

Hydration and Joint Health in India

In India’s hot and humid climate, dehydration is common, especially during summer months.

Outdoor workers, athletes and elderly individuals are particularly vulnerable.

Maintaining adequate hydration supports not only joint health but overall wellbeing.

When to Consult a Doctor

Seek medical advice if you experience:

Persistent joint pain
Swelling
Limited range of motion
Redness or warmth around joints

These may indicate underlying joint disorders requiring evaluation.

Conclusion

Poor hydration can negatively affect joint health by reducing lubrication, increasing stiffness and raising injury risk. Since cartilage and synovial fluid depend heavily on water, maintaining adequate hydration is essential for smooth movement and long-term mobility.

Drinking sufficient water daily is a simple yet powerful step toward protecting joint health. Combined with regular exercise and balanced nutrition, proper hydration supports active and pain-free living.

Small daily hydration habits can make a significant difference in how your joints feel and function.

References

Indian Council of Medical Research – Hydration Guidelines
World Health Organization – Water and Health Resources
Indian Journal of Orthopaedics – Joint Health Studies
National Institute of Nutrition India – Fluid Intake Recommendations
Journal of Sports Medicine – Hydration and Musculoskeletal Health Research

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