What Is Peripheral Arterial Disease?

Peripheral arterial disease is among the most common diseases that affect the body’s blood vessels. The illness manifests in the form of reduced blood flow to the limbs due to a reduction in the diameter of major blood vessels caused by the accumulation of deposits on the vessel walls. Peripheral arterial disease is largely considered to be an illness related to our lifestyle, that is why it affects around 80% of the people over the age of 60 in Western countries. Here are some more things to know about this insidious condition.

PAD doctor Missouri

What Causes Peripheral Arterial Disease

The principal cause that starts the process of artery narrowing is lifestyle – diets that are rich in fat and refined carbohydrates, but low in fiber cause high cholesterol and blood sugar levels and promote the development of fat deposits on the arteries and the rigidization of the major blood vessels. The disease usually takes very long to start causing symptoms – in many cases, the process of narrowing in the arteries starts at around the age of 40, but the illness can remain asymptomatic for decades.

The Symptoms of Peripheral Arterial Disease

As it is the case with many slowly progressing illnesses, the first symptoms of peripheral arterial disease are hardly noticeable, therefore easy to neglect, such as minor discomfort experienced in the affected limbs. As the disease progresses and the affected artery becomes narrower, the symptoms become stronger, too. The most common signs that the illness is progressing include claudication, that is, leg pain experienced while walking; muscle cramps; coldness in the affected limb due to improper blood circulation; shiny or discolored skin on the affected limb; slower growth of the nails and of hair on the limb due to the lack of nutrients and numbness or weakness. In more severe cases, claudication aggravates to a level that makes walking impossible and the patient might also start feeling pain even when the affected limb is resting. Severe cases of peripheral arterial disease might also be associated with the discoloration of the skin in the affected area – a very serious problem that requires instant medical treatment as the discolorations are usually caused by a complete blockage of the blood flow.

Treatment Options for Peripheral Arterial Disease

Currently, there is no healing for peripheral arterial disease – once the process has started, the damage sustained by the affected arteries is usually irreversible. However, according to a one of the most respected PAD doctor Missouri has, in mild cases, the symptoms can be efficiently reversed and the progression of the disease can be stopped with lifestyle changes, such as switching to a diet that is low in fat and sugars, and high in fiber and in healthy nutrients and the implementation of a regular exercise regimen. More severe cases can also be efficiently kept under control with the help of lifestyle changes combined with medication that keeps cholesterol and blood sugar levels in check. Very severe cases, when the blood flow to the affected limb has been completely severed, require immediate action to restore the blood flow, followed by treatment with medication and the transition to a healthy lifestyle and a balanced diet.

An Explanation of Benign Prostatic Hyperplasia (BPH)?

BPH Endovascular Doctor Procedures

Benign prostatic hyperplasia, also known as prostate gland enlargement, is among the most common health issues that affect men, a condition that develops gradually, with age.

What Is the Prostate?

The prostate is a small gland in the male reproductive system, located below the bladder and in front of the rectum, partially wrapped around the urethra, the tube through which urine is eliminated. The walnut-sized gland plays a role in the production of semen, providing one of the fluids in its composition and the prostate also plays a role in the process of expelling the semen during ejaculation.

Why Does the Prostate Enlarge?

Prostate enlargement is a natural process that usually takes place very slowly, over the course of many years or even decades. While the cause that triggers the growth process is not fully understood, most experts agree that it is somehow related to the age-related changes in the body that affect the balance of male sex hormones.

The Symptoms of Benign Prostatic Hyperplasia

As the prostate grows, the process affects sexual function as well as the way that the urethra functions, the most common symptoms being related to the passing of urine and to sexual activity. The symptoms related to the urinary tract include the frequent or urgent need to urinate, especially during the night, difficulty when starting urination and dripping at the end of urination, a urine stream that is very weak and the inability to empty the bladder completely. In some cases, the enlarged prostate can have an effect on sex life, causing erectile dysfunction or ejaculation issues.

If left untreated, worsening prostate enlargement can lead to complications that are sometimes severe. These complications include the complete inability to urinate, frequent urinary tract infections and bladder damage caused by the inability to empty the bladder completely, the formation of bladder stones and kidney damage that might appear when the bladder infections caused by long-term urinary retention reach the kidneys.

The Treatment of Benign Prostatic Hyperplasia

There are many treatment options available for benign prostatic hyperplasia, early detection being a factor that considerably influences treatment efficiency. Here are some methods:

  • Watchful waiting – as it is the case with many conditions that develop slowly, watchful waiting and annual check-ups is the recommended solution for men whose prostate has started growing, but have no symptoms;
  • Medications – there are several drugs available for the treatment of prostate enlargement that causes mild to moderate symptoms. Some of these medications act by shrinking the prostate, while others help ease the symptoms. The drugs used usually take long to produce the desired improvement, therefore they need to be taken for a long time;
  • Surgery – men who have severe symptoms and who do not react well to medication can undergo surgery. The intervention is today considered to be routine surgery and it involves the transurethral resection of the prostate, in other words, it consists of the trimming of the excess prostate tissue to free the urethra and to eliminate the blockage that leads to the symptoms. Find the best endovascular doctor near me in Fort Collins for procedures.

How Do You Know You Need to Remove Your Wisdom Teeth?

Wisdom teeth are not really necessary to humans in the present. They are an atavism, i.e. evolutionary “leftover” features from the times when the first humans lived off a diet of raw meat and roots. These third molars usually come out between the ages of 17 of 21, but some people also get them in their mid twenties to early thirties.

And most of us can live with these extra four teeth just fine. But not everybody is lucky to have a full set of perfectly grown and functioning wisdom teeth. In some cases, your dentist will recommend you to have them removed.

wisdom teeth removal Parker

When Should You Have Your Wisdom Teeth Checked?

Ideally, you should get screened for wisdom teeth growth before they actually come out – when you are around 14-15 years old. A dental X-ray will indicate if they are well formed and positioned correctly.

Some dentists recommend getting the third molars removed as a precaution as soon as they come out. Their reasoning is that, once puberty is completed, the bones become harder and the procedure is more difficult and painful for the patient.

Can You Keep Your Wisdom Teeth?

Although they are not necessary for a correct mastication process (chewing food), wisdom teeth should not be removed as a matter of course if:

  • They are fully formed and functional
  • They grew in a correct position
  • You can eat and speak without difficulties
  • You can properly brush and floss them.

However, some people are not so lucky, and their wisdom teeth do not develop properly. These are some of the signs that you should see a wisdom teeth removal Parker dental specialist and consider getting your wisdom teeth removed:

  1. Incorrect Growth

In some cases, the third molars do not have sufficient space to grow upright. When they grow at a certain angle, they may push against the other teeth and lead to misalignment. In this case, removal of the third molars is necessary to maintain the other teeth in a regular, healthy position.

  1. You Notice a Growth in the Gum

Sometimes, a sac next to a wisdom tooth fills with liquid, forming a cyst. Left untreated, cysts can damage the jawbone and the roots of the teeth, or even evolve into a tumor and require surgery to remove it. Do not ignore swelling and growths in the gum around wisdom teeth, they are not part of the growth process.

  1. You Feel Pain and Irritation

Pain of any kind is a signal that something is wrong. This is the only way your body tells you to that you have a problem in a certain area. Thus, you should not ignore pain, redness and irritation around the wisdom teeth. Painkillers will make you stop feeling the pain, but will not solve the underlying problem.

  1. Your Jaw Is Stiff

If you feel difficulty in opening and closing your mouth, speaking and eating, it may be because your wisdom teeth are causing a shift in the position of your lower jaw. The sooner you see a doctor, the faster you can solve this issue, which can cause changes in the way you eat and even in the pattern of your speech.

  1. Sinus Problems

The entire area of the nose, ears and mouth is interconnected by various channels of communication. If you develop sinus problems, the reason for it can be found in your mouth – the wisdom teeth. Once they are removed, you will notice that your sinus issues disappear, as well.

Should You Call a Doctor to Treat Leg Pain?

Our legs suffer a lot of wear and tear during the course of a lifetime. As soon as we learn how to walk, we keep using them. Sometimes we run, we jump, we hop and we stomp. And each of these movements means extra strain for muscles, ligaments and bones.

So, at a certain point, we feel pain in our legs. If you exercise a lot or go jogging frequently, you feel it as heaviness in your legs. Sometimes you sprain your ankle or develop athlete’s foot. But many people simply realize that they have leg pain for no apparent reason. In this case, should you call a doctor or try home treatments?

Understand the Cause of Leg Pain

As we briefly stated above leg pain can be caused by intense exercise or trauma. If you have a sprained ankle, there is no question about it, you must see a doctor. However, if you have muscle cramps after a particularly long and difficult jog outdoors, a warm bath and massage will solve the problem.

Yet, there are other causes of leg pain, some of them with serious implication for your health. These are:

  • Deep vein thrombosis
  • Bursitis (joint inflammation)
  • Gout
  • Osteoarthritis
  • Rheumatoid arthritis
  • Thrombophlebitis (a blood clot in the leg).

In some cases, children undergoing puberty may experience growing pains, but they usually go away by themselves, with no specific course of treatment. Older people and pregnant women also experience night leg cramps (contractions of the calf muscles).

How to Deal with Each Type of Pain

There are four possible scenarios in dealing with leg pain. We range them from the least to the most dangerous to your health.

  1. Home Treatment

Minor leg pain, accompanied by swelling or not, can be usually treated at home using the RICE method:

  • Rest the injured leg (or legs) and refrain from walking
  • Ice the injured area using a frozen pea bag or a bag of ice cubes
  • Compression: apply a compressive elastic bandage around the injured area; however, avoid wrapping it too tightly, because you risk cutting off blood flow
  • Elevate: lift the injured leg above the level of the heart, by placing one or several pillows under it.

treatment for leg pain

  1. Schedule a Visit to Your Doctor

Here are some of the types of leg pain that should not be left unexamined by a doctor:

  • Leg pain that does not improve with home care after a few days
  • Pain during or after walking
  • Swelling in both legs
  • Painful varicose veins
  • Pain that increases from one day to the other.
  1. Go to Your Doctor as Soon as Possible

You should go to your doctor even without a prior appointment if you notice:

  • Redness, warmth or tender flesh, which are signs of an infection
  • Swollen leg, cool to the touch and with pale skin
  • Pain in your calf after sitting down for a long time (a flight, a long drive)
  • Swelling in both legs accompanied by difficulties in breathing
  • Any kind of symptom that appears for no good reason.
  1. Call an Ambulance or Go to the Emergency Room

These are situations in which you must receive medical treatment for leg pain without delay:

  • Open leg injury with exposed bone or ligaments
  • Inability to walk or put weight at all on one leg
  • You heard a popping or grinding sound at the moment of the accident
  • Your calf is painful, swollen, tender or warm to the touch.

What Are the Most Significant Benefits of Keeping a Sleep Diary?

Fighting sleep disorders can be an ongoing battle, even in the case of so-called mild sleep problems such as insomnia. For some of us, these sleep related issues are anything but mild, and practices such as keeping a sleep diary often prove to be essential for finding out exactly what’s wrong and how to approach the problem. 

Get Better Insight on Your Sleeping Patterns

The most obvious benefit of keeping a sleep diary is that you’ll be able to monitor your sleep patterns more efficiently. This means that you’ll know not just about severe sleep apnea episodes or problems with sleep walking and waking up suddenly, but you’ll also have an idea of how each episode fits in a long term pattern.

As you examine your diary after keeping it faithfully for a few months, you might notice certain patterns, such as how your sleep changes with your menstrual cycle or whether or not there is any correlation between your sleep cycle alterations and temperature or weather changes as winter turns to spring or spring turns to summer.

snore doctor

Using this sleep diary, you will better be able to discuss diagnosis and treatment options with a reputable snore doctor.

Monitor the Efficiency of Your Treatments

When you’re suffering from sleep disorders and your doctor provides you with a treatment or a device like the CPAP machine that you need to use as part of your treatment, you will want to know how effective these methods really are. A sleep diary will help you with that part as well.

Depending on the type of treatment you use, you can write down detailed information about how it affected the amount of time you sleep, the specific episodes you used to have before starting the treatment, or the extent to which it helped you sleep more easily and without interruption.

In some cases, it also helps to record yourself during sleep or to have someone look in on you as you sleep, and make notes of the specific time when, for example, you had a more prominent snoring episode, or your breathing suddenly stopped for a few seconds.

Help Your Doctor Provide You with an Accurate Diagnosis

Although certain sleep conditions, such as sleep apnea, might require a specialized sleep study before the doctor can give you an accurate diagnosis, other sleep disorders might just need some basic investigation for that purpose. A sleep diary will help a lot with these, as it will provide your doctor with invaluable information about the amount of time you sleep, the sensations you have during sleep or upon waking up, the overall quality of your sleep, and any psychological or physiological changes that you might have gone through since the problem first appeared.

Sometimes a diary can even save your life, especially when cases of sleep apnea and other severe sleeping disorders are mistaken for insomnia, because the patient doesn’t fit the usual, statistical profile of what a sleep apnea patient should look like. Also, in the case of women, for instance, breathing cessations and snoring episodes are less prominent, and can go unnoticed in certain cases. But with a sleep diary, you can point them out more easily and convince the doctor to schedule you for a sleep study, instead of just giving you a wrong diagnosis.

When Do Most People Have Wisdom Teeth Removed?

when should wisdom tooth removal happen

Wisdom teeth are usually the last ones to erupt and the first ones to be extracted – most people don’t have fully developed wisdom teeth until their mid-twenties, but they need their third molars extracted by the time they are in their thirties. Here is why wisdom teeth need to go so soon.

Why Wisdom Teeth Cause So Many Problems

Wisdom teeth are the third set of molars, located at each end of the rows of teeth in the human mouth. In the past, about 10,000 years ago, these third molars were used extensively for grinding food, but our diet has changed so much that we no longer need these teeth for eating. However, 10,000 years is a very short time in evolution, certainly not enough for a body part to disappear because it is unused, but the other transformations that have already affected the oral cavity due to lifestyle changes have diminished the space available for wisdom teeth in dentition. As a result, wisdom teeth tend to develop problems related to eruption and growth – they either fail to erupt through the gum and develop underneath the gum surface, trying to make space for themselves by pushing and crowding the other teeth or they erupt, but they don’t grow in the right direction. The other factor that makes wisdom teeth so problematic and so prone to decay is that their location makes them almost impossible to clean properly. The food residues and other impurities that collect around wisdom teeth increase the risks of severe cavities as well as of infections, the most commonly chosen treatment for these issues being wisdom tooth removal Park Ridge offers.

When and How Are Wisdom Teeth Removed

Most people need to get their wisdom teeth removed when they are in their thirties. The third molars being affected by so many issues of great complexity, wisdom teeth are usually removed by oral surgeons, not by general dentists – while it is usually the patient’s general dentist who identifies and diagnoses the impacted or decayed wisdom tooth, the removal itself is usually performed by the surgeon that the general dentist refers the patient to.

The process of wisdom tooth removal is essentially the same as the removal procedure used with other teeth, but the special location of wisdom teeth and the complexity of the intervention requires a more specialized approach. In simple cases, the procedure is performed under local anesthesia, but if the tooth is very complicated to remove, the surgeon might want to perform the extraction while the patient is under general anesthesia. Wisdom tooth extraction might also take longer than the removal of other teeth and the process might require the use of more specialized tools.

The after-care of the extraction wound is also essentially the same as in the case of other teeth. The patients should refrain from any strenuous physical activity for a couple of days and they should avoid dairy products, foods that are too hot or too cold or foods that are too hard. During cleaning, the patient should pay special attention not to dislodge the blood clot that has formed in the wound – if that clot is lost, the patient might develop dry socket syndrome, a set of symptoms that include pain, inflammation, fever and might lead to slower recovery.

How Do You Start Couples Counseling?

Happy Couple Finishing Marriage CounselingCouples counselling is a form of therapy conducted by a specialized therapist, with the participation of both partners, as an attempt to improve or to restore romantic relationships through resolving the conflicts that have arisen between the partners over time and by helping the partners express and acknowledge their feelings to themselves and to each other. The process is complex and often lengthy and it often involves intense feelings and pain.

Starting couples marriage counseling Castle Rock CO offers is usually the result of a process of acknowledging the existence of relationship problems by both partners, it comes after multiple discussions about the possible solutions to their problems and it is grounded on the intention of both parties to resolve those problems. If you and your partner is in this phase, here is how to start therapy.

Search Online for the Right Counselor

While word of mouth recommendations are usually great, reliable sources of information about any type of specialist, most people are reluctant to admit that they are having relationship issues even to their friends and family, so personal recommendations might not be the best resource in this case. Fortunately, there are lots of great online resources that you can use to find a specialist – the American Association for Marriage and Family Therapy is one of the professional organization that you can turn to for information and many couples counselors also have their own websites where they describe their experience in the field of couples therapy and their approach to helping their patients.

Call for Appointments

The relationship between the couple and the therapist should be one of complete trust, therefore the personality of the counselor and of the partners need to match. Prepare a list with the couples therapists available in your area, then schedule a meeting with the first specialist on your list, but don’t be shy or afraid to say goodbye to that therapist if you feel that you don’t like or don’t trust the person. Be polite, but don’t be stuck with a therapist that you don’ feel comfortable talking to – continue calling therapists and attending appointments until you find the person that you and your partner can share your innermost thoughts and emotions with.

Be Prepared for Activities

Couples therapy often relies on activities requested by the therapist and executed by the partners outside the therapist’s office. You and your partner might be asked to keep a journal of any thought, feelings or events relevant for the therapy or you might be asked to perform certain activities or exercises together, such as hugging for a specific amount of time each day or expressing your appreciation for your partner each day. Don’t neglect these activities and requests – in the beginning, they might seem ridiculous, embarrassing or difficult, but couples therapists know why they give you the tasks and you will surely see the benefits soon.

Be Prepared for Attending Sessions on Your Own as well as with Your Partner

In certain situation, your therapist might want to meet only you or only your partner to find out about the progress that you have achieved individually.

Should You Really Consider a Home Health Care Professional for Your Folks?

Alzheimer’s Parkinson's Dementia Care

When you want to take care of your parents as they grow old and might be overcome with sickness, it’s important to provide them with the best kind of elderly care that money can buy. Even though you might want to be there for them yourself, that isn’t always possible, since your busy schedule might prevent you from staying with them most of the time – and your other family members could have similar issues.


Fortunately, you’ll find that there are numerous dependable home health care professionals out there who will be more than happy to help. For a relatively small fee, they will not only stay with your folks and make sure they have everything they need, but you can also benefit from assistance with medication and all the most essential chores that your folks can’t handle on their own.


The most important thing to consider before hiring a home care person, however, is whether or not you need one in the first place. Following are a few factors that you’ll definitely need to look into:


  • Are you or your family too busy or too overwhelmed to take proper care of your elders? There’s no shame in admitting that you might be overwhelmed, especially if you’re dealing with elderly parents who also suffer from a disease like Parkinson’s or Alzheimer’s, or who can’t walk or feed themselves.
  • Do your folks need to take a lot of medication at precise times? Maybe they suffer from diabetes or heart problems, and their memory no longer allows them to think clearly enough. In that case, you’ll need the assistance of a home health care professional to keep track of their schedules and give them the right dosage each time.
  • Having enough money is also an important factor. In some cases, you might find home care persons who will be available at a lower than average price, but there is typically a minimum, and you’ll have to screen your helper before you hire them (so going for the lowest possible cost is not always an option).
  • Make sure you understand your folks’ needs and what special skills the dementia care Denver home health care professional might need. For instance, if one of your parents suffers with heart problems, then you will require a helper who can intervene in a crisis situation and has the necessary medical training to do everything possible to keep your loved one stable until the ambulance arrives.


Deciding on a professional home health care person can be a difficult task, even if you did your homework and made sure you know everything that’s needed. The screening process will have to be extensive, and you need to know that you can rely upon the person you hire.


However, you’ll find that most of the people who take up this noble and oftentimes challenging job, are very capable, loving and generous individuals who will do everything in their power to keep your loved ones healthy and happy. So make sure you don’t let your doubts interfere in your decision process too much, as you select the best home health care professional for them.

When Is It Necessary to Have A Tooth Extracted?

Our teeth are very strong and they endure a lot – we chew on hard foods all the time, we drink ice-cold and hot things, some people even use them to open bottles. All these hardships as well as many other conditions unrelated to what we eat and drink can lead to tooth decay that can no longer be solved with tooth filling, root canal treatment or with the implementation of crowns, the only solution being the removal of the damaged tooth. Here are some situations that can only be solved through dental extraction.

Severely Damaged Teeth

Teeth that have broken off below the gum line and can no longer be filled or otherwise reconstructed can only be treated through extraction and so are the teeth the decay of which has become so extensive that the deepest layers of the tooth are affected. Extraction might also be the best solution to treat teeth that have become infected in areas that cannot be cleaned, such the tip of the root.

Extraction is also the best treatment option for teeth that have been treated several times and the fillings on the surface of the tooth and the sealing applied in the root canal can no longer be redone.

Teeth Affected by Severe Impact or Accidents

The teeth that have suffered damage because of severe impact, such as a very hard blow to the face or the impact caused by an accident might also need to be extracted. Such serious impact can cause damage not only to the visible part of the tooth, but it might also cause fractures to appear at the level of the roots, case in which removal is the only option.

Diseases that Affect the Bone and the Gums

Gum disease and osteoporosis are both known to weaken the teeth and to make them loose. A loosely fitting tooth is a tooth that no longer fits into its socket perfectly and is surrounded by a gap, rather than by ligaments. During eating and drinking, the gap can become filled with residues that are hard or impossible to remove and lead to the proliferation of bacteria and to toothache. Unfortunately, loose teeth cannot be made tight-fitting again, so they need to be removed.

Dental Crowding

Tooth extractions might be necessary to realign the patient’s teeth. Misaligned teeth might be caused by dental crowding, meaning that the teeth in the patient’s mouth don’t have sufficient space to occupy the correct position, the most common tooth that cause such problems being the last molars in the rows called wisdom teeth. Extracting one or several teeth from strategic places can solve the problem, even if the removed teeth are perfectly healthy, the gap left behind by the removed teeth offering the necessary space for the rest of the teeth to become properly aligned. The extractions performed for realignment purposes are usually not used as stand-alone procedures, but as parts of a longer process of realignment with the help of braces or other types of aligners.

Tooth extraction can be a painful and anxiety driven experience. Looking for a professional, experienced, sedation dentistry Castle Rock practice is the best way to make sure you have the best experience possible.

sedation dentistry Castle Rock professionals

What is an Anti-Aging Skin Regimen

Modern cosmetic and medical science has discovered lots of ingredients that can efficiently tackle the challenges that our skin faces with age – with the right skincare regimen, you can reverse the wheel of time, making thin lines disappear, wrinkles less visible and restoring the elasticity, freshness and useful appearance of the skin. Here are a few of the most important things that you should know about when it comes to the appropriate age-defying skincare routine.

The Importance of Skin Cleansing

Our skin is permanently exposed to the contaminants and bacteria that float around in the air and the skin’s natural metabolism also leaves dead skin cells on the surface of our skin that can clog the pores, cause breakouts and confer a dull, unhealthy appearance to your skin. Choose a gentle cleanser that appropriate for your skin type and use it on your face, your neck and your cleavage twice a day, in the morning and in the evening. If you use make-up, pay special attention to removing even the last, tiniest make-up residue from your skin – the task is essential for healthy, youthful skin.

Exfoliate Regularly

The skin becomes more sluggish with age, less able to restore and replenish itself. The process of generating new skin cells also slows down as the years go by, which also means that dead skin cells are shed less effectively. To help your skin maintain its youthful appearance and to prevent skin aging and the appearance of lines and wrinkles, chose a gentle chemical exfoliant that dissolves the layer of dead cells on your skin. Pick a product that adds nutrients to your skin – the exfoliants that contain alpha-hydroxy acids are best.

best anti aging serum

Use Anti-Aging Creams and Lotions

The best anti aging serum formulas have been developed to stop or prevent the loss of collagen, one of the skin’s most important proteins and the one responsible for skin elasticity. Choose creams or serums that contain derivatives of vitamin C, A and E – they will not only rebuild the collagen in your skin, but will also protect your skin against the harmful effects of free radicals and other contaminants floating in the air that your skin is in constant contact with.

Never Go without Sunscreen

Sunscreen is not only for the hot summer days – the sun’s rays are harsh on our skin all year around, not only when sunshine is associated with heat. Applying a thin layer of sunscreen whenever you go out is essential for maintaining your skin’s youthful appearance by preventing the breakdown of collagen and elastin, by preventing skin thinning and the appearance of patches.

Use Appropriate Anti-Aging Products on Your Entire Body

Aging does not affect the skin of the face and the neck – the skin ages all over the body. Fortunately, nowadays you can find lots of skincare products to be used on your body – the process of anti-aging skincare for your body is very similar to the skincare routine that you apply on your body: cleanse with a suitable gel or soap, exfoliate with a suitable scrub or chemical exfoliant, then nourish your skin with an appropriate body lotion.