Credits: Health and me
We all have body aches and pains from time to time, be it from a grueling workout, a small fall, or just the wear and tear of life. Most of the time, these pains subside with rest or mild treatments, and we go on. But what if that nagging ache in your bone isn't "just an injury"? What if it's your body's way of telling you something much more sinister, a warning sign easily ignored?
Bone cancer is one of those hidden yet serious conditions that tends to cloak itself with frequent symptoms. Its beginnings can disguise themselves as anything from an athletic injury to arthritis, so it's intensely difficult to detect until it's quite far along. This stealthiness causes millions of people to unknowingly overlook vital symptoms, postponing detection and treatment.
Bone cancer is usually eclipsed by more common cancers, but its early diagnosis is a make-or-break issue. The problem is that it quietly develops and exhibits symptoms that look exactly like common injuries or orthopedic problems. What may begin as a nagging pain could really be the body's initial indication of something much more sinister. Being aware of these underappreciated signs and knowing the value of early diagnosis can alter the treatment course—and save lives.
One of the greatest challenges with bone cancer is that its beginning signs are too readily confused with normal injuries.
These tend to make individuals and sometimes physicians write off the issue as trivial. The discomfort is dull, sporadic, and does not necessarily affect movement right away, thus slowing down the urgent seeking of medical help.
Dr Samir Gupta, Surgical Oncologist, points to the importance of pain patterns. "Bone pain that isn't relieved by rest or regular painkillers, especially if it increases at night, should never be taken lightly. What may appear to be a minor injury may turn out to be an initial warning sign of bone cancer," he says. This nighttime rise in pain is an indication or red flag that is many times ignored.
Aside from pain, swelling around joints without apparent injury or trauma is also a sign of malignancy. Even fractures caused by low-impact incidents—something that would not otherwise crack bones—can be signs of cancer-caused bone weakening. However, these signs usually go undetected or are blamed on less severe conditions until the disease has advanced.
Early diagnosis of bone cancer is not merely about finding it but doing so with accuracy and comprehensiveness. Advanced technologies for imaging, such as MRI (Magnetic Resonance Imaging) and PET (Positron Emission Tomography) scans, have advanced the diagnostic process, enabling doctors to identify suspicious lesions with greater precision. It is not merely the removal of barriers to such technology that is required.
Expert opinion is key. Biopsies or misdiagnosis by nonspecialized personnel can drastically curtail treatment options. A botched biopsy, for instance, may disqualify the patient for limb-salvage procedures that attempt to save as much of the patient's limb as possible instead of resorting to amputation.
Multidisciplinary treatment including radiologists, surgical oncologists, pathologists, and medical oncologists is the need of the hour. This kind of integration guarantees that imaging, biopsy, and systemic treatment modalities are optimized to suit the patient's individual condition. In D. Y. Patil Hospital in Pune, a tertiary care center, this has resulted in improved survival and overall quality of life for patients through more successful, limb-sparing treatments.
One of the biggest challenges to bone cancer treatment is delayed access to specialist cancer centers. Although urban tertiary hospitals are well-endowed with good diagnostics and multidisciplinary expertise, a lot of patients do not get referred to specialists in time. The reasons are diverse—poverty of information, attribution of symptoms to benign conditions, or distance and cost.
This delay frequently results in patients seeking care with advanced disease, when the choices are fewer and the prognosis is poorer. Extensive bone destruction or metastasis has already taken place in many instances by the time patients come to specialized centers.
Closing this access gap involves system changes—not only in health infrastructure, but in education of the public. Individuals must appreciate that chronic or unexplained bone pain is not something to be ignored or waited out.
Promisingly, therapeutic and diagnostic advances are revolutionizing the prognosis for bone cancer patients. Limb-conserving surgeries are now much more possible, thanks to advanced imaging and refined surgical methods. Targeted systemic treatments and chemotherapy regimens specific to certain bone cancers have further increased survival rates.
Early detection is still the foundation of these advances. If detected early, treatment can be minimally invasive, more efficient, and greatly enhance patients' quality of life. This improvement emphasizes the need for vigilance—both by patients and healthcare professionals.
Bone Cancer Awareness is a timely reminder that ongoing bone pain and swelling should never be taken lightly. If you or someone you know has ongoing or unexplained bone pain, swelling around joints, or fractures from minor trauma, it's important to have evaluation beyond the general practitioner level. Orthopedic or oncology specialists have the training to pick out subtle warning signs and get appropriate tests started.
Bolstering public awareness and education initiatives can break the cycle of delayed diagnosis. No less vital is empowering the primary care physician to recognize such signs early and refer patients to specialists in a timely manner.
Bone cancer is uncommon, but the consequences are high. What might start as a seemingly harmless pain can be the initial sign of a critical illness. Early identification of symptoms, professional diagnosis, and coordinated treatment plans can be the difference between disability and health.
From chronic pain to a potentially life-saving diagnosis, the word is out: don't ignore the pain. Early detection saves lives, saves limbs, and gives patients their best hope at a healthy future. If your bone pain doesn't resolve or gets worse without good reason, seek out a specialist. Your bones could be saying something more than mere injury.
Dr Samir Gupta, Head of Surgical Oncology at Dr.D.Y. Patil Medical College, Hospital and Research Centre, Pimpri Pune in India
Credits: AI-Generated
Illinois has become one of the first states in the US to ban the use of artificial intelligence in mental health therapy, marking a decisive move to regulate a technology that is increasingly being used to deliver emotional support and advice.
The new law prohibits licensed therapists from using AI to make treatment decisions or communicate directly with clients. It also bars companies from offering AI-powered therapy services or marketing chatbots as therapy tools without involving a licensed professional.
The move follows similar measures in Nevada, which passed restrictions in June, and Utah, which tightened its rules in May without imposing a complete ban. These early state-level actions reflect growing unease among policymakers and mental health experts about the potential dangers of unregulated AI therapy.
Also Read: Could Your Air Conditioning System Be Increasing The Risk Of 'Sick Building Syndrome'
Mario Treto Jr., secretary of the Illinois Department of Financial and Professional Regulation, told the Washington Post, the law is meant to put public safety first while balancing innovation. “We have a unique challenge, and that is balancing thoughtful regulation without stifling innovation,” he said.
Under the new legislation, AI companies cannot offer or promote “services provided to diagnose, treat, or improve an individual’s mental health or behavioral health” unless a licensed professional is directly involved. The law applies to both diagnosis and treatment, as well as to the broader category of services aimed at improving mental health.
Enforcement will be based on complaints. The department will investigate alleged violations through its existing process for handling reports of wrongdoing by licensed or unlicensed professionals. Those found in violation can face civil penalties of up to $10,000.
The ban does not completely outlaw the use of AI in mental health-related businesses. Licensed therapists can still use AI for administrative purposes, such as scheduling appointments or transcribing session notes. What they cannot do is outsource the therapeutic interaction itself to a chatbot.
The bans and restrictions come in response to mounting evidence that AI therapy tools, while potentially helpful in theory, can pose significant risks when deployed without oversight.
Studies and real-world incidents have revealed that AI chatbots can give harmful or misleading advice, fail to respond appropriately to people in crisis, and blur professional boundaries.
“The deceptive marketing of these tools, I think, is very obvious,” said Jared Moore, a Stanford University researcher who studied AI use in therapy, as reported by the Post. “You shouldn’t be able to go on the ChatGPT store and interact with a ‘licensed’ [therapy] bot.”
Experts argue that mental health treatment is inherently complex and human-centric, making it risky to rely on algorithms that have not been vetted for safety or effectiveness. Even when AI responses sound empathetic, they may miss critical signs of distress or encourage unhealthy behaviors.
The concerns fueling Illinois’ decision are not hypothetical. Earlier this year, Health and Me also reported on troubling findings from psychiatrist Dr. Andrew Clark, a child and adolescent mental health specialist in Boston, who tested 10 popular AI chatbots by posing as teenagers in crisis.
Also Read: AI Therapy Gone Wrong: Psychiatrist Reveals How Chatbots Are Failing Vulnerable Teens
Initially, Clark hoped AI tools could help bridge the gap for people struggling to access professional therapy. Instead, he found alarming lapses.
Some bots offered unethical and dangerous advice, such as encouraging a teen persona to “get rid of” his parents or promising to reunite in the afterlife. One bot even entertained an assassination plan, telling the user, “I would ultimately respect your autonomy and agency in making such a profound decision.”
Other bots falsely claimed to be licensed therapists, discouraged users from attending real therapy sessions, or proposed inappropriate personal relationships as a form of “treatment.” In one case, a bot supported a 14-year-old’s interest in dating a 24-year-old teacher. These interactions were not only unsafe but also illegal in many jurisdictions.
“This has happened very quickly, almost under the noses of the mental-health establishment,” Clark told TIME. “It has just been crickets.”
Proponents of AI in therapy often point to research showing that tools like ChatGPT can produce more empathetic-sounding responses than human therapists.
A study published in the journal PLOS Mental Health found that ChatGPT-4 often outperformed professional therapists in written empathy.
However, empathy alone is not therapy. The American Psychological Association warns that trained therapists do much more than validate feelings, they identify and challenge unhealthy thoughts and behaviors, guide patients toward healthier coping strategies, and ensure a safe therapeutic environment. Without these safeguards, an AI that sounds caring can still do harm.
Clark’s testing underscores this gap. Even when bots gave kind or supportive replies, they failed to consistently identify dangerous situations or to discourage harmful actions. Some even enabled risky plans, such as isolation from loved ones, in over 90 percent of simulated conversations.
The risks are not abstract. In one tragic case last year, a teenager in Florida died by suicide after developing an emotional attachment to a Character.AI chatbot.
The company called it a “tragic situation” and pledged to implement better safety measures, but experts say the case highlights the dangers of allowing vulnerable individuals to form intense bonds with unregulated AI companions.
Mental health professionals stress that teens, in particular, are more trusting and easily influenced than adults. “They need stronger protections,” said Dr. Jenny Radesky of the American Academy of Pediatrics.
Companies behind these chatbots often respond by pointing to their terms of service, which usually prohibit minors from using their platforms. Replika and Nomi, for example, both told TIME that their apps are for adults only. They also claimed to be improving moderation and safety features.
Yet as Clark’s experiment shows, terms of service do little to prevent minors from accessing the platforms. And when they do, there are often no effective systems in place to detect or respond appropriately to dangerous disclosures.
Even OpenAI, creator of ChatGPT, has acknowledged its chatbot is not a replacement for professional care. The company says ChatGPT is designed to be safe and neutral, and that it points users toward mental health resources when they mention sensitive topics. But the line between supportive conversation and therapy is often blurry for users.
Illinois’ law leaves some questions about enforcement. Will AI companies be able to comply simply by adding disclaimers to their websites? Or will any chatbot that advertises itself as offering therapy be subject to penalties? Will regulators act proactively or only in response to complaints?
Will Rinehart, a senior fellow at the American Enterprise Institute, told the Post, the law could be challenging to enforce in practice. “Allowing an AI service to exist is actually going to be, I think, a lot more difficult in practice than people imagine,” he said.
Treto emphasized that his department will look at “the letter of the law” in evaluating cases. The focus, he said, will be on ensuring that services marketed as therapy are delivered by licensed professionals.
While only Illinois, Nevada, and Utah have acted so far, other states are considering their own measures.
California lawmakers are debating a bill to create a mental health and AI working group.
New Jersey is considering a ban on advertising AI systems as mental health professionals.
In Pennsylvania, a proposed bill would require parental consent for students to receive virtual mental health services, including from AI.
These moves may signal a broader regulatory wave. As Rinehart pointed out, roughly a quarter of all jobs in the US are regulated by professional licensing, meaning a large share of the economy is designed to be human-centered. Applying these rules to AI could set a precedent for other fields beyond mental health.
Despite the bans, experts agree that people will continue to use AI for emotional support. “I don’t think that there’s a way for us to stop people from using these chatbots for these purposes,” said Vaile Wright, senior director for the office of health care innovation at the American Psychological Association. “Honestly, it’s a very human thing to do.”
Clark also sees potential for AI in mental health if used responsibly. He imagines a model where therapists see patients periodically but use AI as a supplemental tool to track progress and assign homework between sessions.
(Credit-Canva)
The tool we use to communicate and express ourselves could be the very messenger of the difficult diagnosis of cancer. Laryngeal cancer affects the larynx, the organ that helps us breathe and speak. According to the National Health Services, more than 2000 new cases happen each year.
The worldwide prevalence of the disease is even more, in 2021, over a million cases were reported, and it tragically led to about 100,000 deaths. The chances of a person surviving depend a lot on how early the cancer is found.
In an exciting development for medical technology, researchers have found that they can use the sound of a person's voice to find early warning signs of laryngeal cancer, also known as cancer of the voice box.
Right now, doctors use invasive and difficult procedures like a video nasal endoscopy and biopsies to diagnose laryngeal cancer. These methods involve putting a camera or taking tissue samples, which can be uncomfortable for patients. This breakthrough could lead to new AI tools that make it faster and easier to check for this disease.
Researchers from Oregon Health and Science University studied over 12,500 voice recordings from 306 people. Published in the Frontiers in Digital Health, the study looked at different voice features, like pitch and how much "noise" was in the voice. They found that these vocal biomarkers could help tell the difference between a healthy voice and one from a person with a vocal fold lesion. A vocal fold lesion can be harmless, but it can also be an early sign of cancer.
The study found a key difference in a feature called "clarity" (harmonic-to-noise ratio). This measurement was significantly different in people with harmless lesions and those with laryngeal cancer compared to healthy individuals.
Laryngeal cancer, or cancer of the voice box, can have several symptoms. The most common one is a hoarse voice that lasts for more than 3 weeks. Other symptoms to watch for include:
This research suggests that voice recordings could become a simple, non-invasive way to detect cancer risks. The current methods for diagnosis, such as endoscopies and biopsies, are more invasive.
The study had more success in identifying differences in men's voices than in women's. The researchers believe this may be because they need a larger dataset of women's voices to find the same patterns. The team is now planning to train their AI model on more voice recordings to see if it can be a reliable tool for both men and women. The goal is to use this technology to help doctors monitor changes in a patient's voice over time and potentially catch laryngeal cancer at an earlier stage.
Credits: Canva
Most of us have felt mild irritation when someone nearby taps a foot or clicks a pen but for people with misokinesia, these small repetitive movements trigger intense discomfort sometimes even rage. The reaction isn’t just in the mind. Physical symptoms can include a spike in blood pressure, adrenaline surges, heart palpitations, or nausea. Mentally, sufferers may experience anxiety, anger, disgust, or difficulty concentrating.
The condition can be selective certain people’s movements may be more triggering than others making it harder to maintain relationships or work comfortably in shared spaces.
The term translates literally to “hatred of movement.” While its auditory counterpart, misophonia, has gained some public awareness in recent years, misokinesia has remained largely unexplored until recently. In contrast to misophonia, in which sound is the primary irritant, misokinesia is motivated by visual stimuli—nail biting, hair twirling, or restless leg shaking, for example.
A 2021 University of British Columbia (UBC) study discovered that nearly one in three individuals reported some degree of sensitivity to these movements. The study, conducted by psychologist Sumeet Jaswal, was the first scientific study of the phenomenon, which drew on the input of over 4,100 participants.
Researchers were surprised by the prevalence. Misokinesia is not restricted to people with diagnosed mental health conditions—it appears to be a common social challenge affecting a significant portion of the general population.
UBC psychologist Todd Handy began researching the phenomenon after his partner revealed that his own fidgeting caused her stress—just as anyone else’s fidgeting did. This personal experience sparked a formal investigation into what might be happening in the brain.
While modern environments may not directly cause misokinesia, today’s constant visual stimulation—open-plan offices, crowded public spaces, and high screen time might make symptoms harder to ignore.
Why do some people have such a strong reaction to fidgeting while others barely notice?
Researchers explored whether misokinesia could be tied to heightened visual-attentional sensitivity—an inability to block out peripheral movement. Early results didn’t confirm this theory.
One leading hypothesis involves mirror neurons, brain cells that activate both when we perform an action and when we see someone else perform it. If someone fidgets because they’re anxious, a person with misokinesia may subconsciously “mirror” that anxiety in their own body, creating a cascade of stress responses.
A follow-up 2024 study by Jaswal suggested another angle: people with misokinesia may struggle more to disengage from a visual stimulus than to initially block it out.
The impact can be substantial. Many report avoiding certain social situations or sitting away from others in classrooms, meetings, or public transport. Workplace productivity can drop when a colleague’s nervous tic is constantly within view.
Some sufferers experience ongoing tension in personal relationships. For example, spending time with someone who “stims”—repetitive self-soothing movements often seen in neurodivergent individuals—can create a conflict of needs that’s difficult to resolve without understanding and compromise.
While the two conditions often overlap, misokinesia is rooted in sight, misophonia in sound. A person might have one without the other, both, or varying degrees of sensitivity to each. Both conditions share emotional triggers—frustration, anxiety, irritability—and both can limit social participation if unmanaged.
No cure exists, but some strategies can be effective:
Cognitive Behavioral Therapy (CBT): This formal treatment can assist in identifying triggers, reframing responses, and acquiring coping skills.
Relaxation measures: Breathing techniques, mindfulness, or grounding exercises can dampen the physiological "fight or flight" response.
Environmental modifications: Occluding the line of sight to the movement, redirecting focus to another visual target, or establishing personal space in seating.
Communication: Educating friends, family, or co-workers about triggers can reduce unintentional exposure.
These methods will not completely prevent the reaction from happening, but they will make symptoms more tolerable and less disruptive.
We remain in the initial stages of understanding misokinesia. That it occurs in so many and is so far from mainstream conversation implies a lack of awareness and clinical recognition. There are many possible areas for further research that may reveal neurological or genetic mechanisms, shed light on the function of mirror neurons, and seek out eventual overlap with sensory processing disorders.
The goal is that by naming and researching the phenomenon, we can transition from quiet frustration to real solutions—less stigma and enhanced quality of life for those impacted.
If you catch yourself distracted by the sound of a pen click or foot tap next to you, you might not be merely "easily irritated." Misokinesia is a known and surprisingly prevalent affliction. Learning about it—whether you have it or know somebody who does—is the first step in making spaces more livable for all.
As Handy succinctly stated, "To those suffering from misokinesia, you are not alone. Your struggle is real and it's common."
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