Archive for December, 2009
Wednesday, December 30th, 2009
Know your Pain Relief Options
The term “arthritis” refers generally to an inflammation of the joints and is typically associated with stiffness and joint pain. The different forms of arthritis vary in terms of cause, severity and potential pain relief treatments.
Management of arthritis pain depends not only upon the specific condition, but also upon your age, lifestyle, and unique response to different treatment methods.
Osteoarthritis and Rheumatoid Arthritis
The two most common forms of arthritis are osteoarthritis and rheumatoid arthritis. Together these conditions affect approximately 40 million people in the United States alone.
* Osteoarthritis is a degenerative condition involving deterioration of the cartilage in the joints, resulting in joint pain or stiffness.
* Rheumatoid arthritis is an inflammatory disease affecting the lining of the joints. While osteoarthritis is far more common, rheumatoid arthritis is often a much more severe form of the disease.
Before assessing your arthritis pain relief options, it is important to consult with a physician to determine whether you have arthritis, and if so, which type since treatment options differ.
Common Causes of Arthritis Pain
The joint pain associated with arthritis may be caused by a variety of factors. Most commonly, arthritis pain originates from:
* Inflammation of the tendons, ligaments or lining of the joints. This inflammation may be accompanied by swelling or redness, which results in joint pain.
* Joint tissue damage, which may be related to an injury or excess pressure on the joints.
* Fatigue, which is sometimes a result of arthritis and can make the joint pain seem more intense and the condition more difficult to cope with.
Arthritis Pain Treatment Options
There are a variety of ways to treat arthritis pain and other joint pain. It’s essential to be aware that people respond differently to different treatments. An individual’s response to pain and pain relief treatments is affected by the particular disease or condition he/she suffers from, the severity of the pain, and a range of psychological and emotional factors.
Short Term Pain Relief
One of the most important considerations when evaluating arthritis pain relief treatment options is to be clear about whether you are focusing on short or long term pain relief.
For short term relief from arthritis pain, many people use hot or cold therapy, depending on the type of pain and the specific condition. Cold therapy in the form of an ice pack can sometimes provide pain relief by reducing swelling, but may not be a good option for patients with poor circulation. Heat therapy, either moist or dry, acts as a muscle relaxant, and can also provide short term pain relief.
Certain drugs can also give quick, short term relief from the joint pain associated with arthritis. Depending on the amount of inflammation, doctors will often recommend a pain relief medication such as acetaminophen or a non-steroidal anti-inflammatory drug (NSAID) like aspirin or ibuprofen.
Another non-drug alternative that provides some patients with short term relief from arthritis pain is TENS, or transcutaneous electrical nerve stimulation. A TENS unit delivers electrical pulses to nerves in the affected area. The pulses block pain messages that the nerves would normally deliver to the brain, thereby bringing pain relief to the patient.
TENS therapy may also raise the level of endorphins produced by the brain. Endorphins are substances that are produced naturally in the body and contribute to feelings of well-being and pain relief.
Long Term Pain Relief
Because both rheumatoid arthritis and osteoarthritis are chronic conditions, sufferers often need to look for long term options to deal with their joint pain.
Drugs such as NSAIDs provide some level of pain relief. In the case of rheumatoid arthritis, disease-modifying antirheumatic drugs (DMARDs) target the immune system and are helpful for some patients. Corticosteroids are hormones that are sometimes prescribed for treatment of the joint pain and inflammation that typically accompany arthritis.
For many people with arthritis pain, exercise and physical therapy can help reduce stiffness and joint pain. Depending on the severity of the condition, walking, swimming, and a variety of strengthening and/or aerobic activities may be helpful, not only in pain relief but also from the standpoint of improving patients’ self-confidence and psychological and emotional well-being.
Overweight people suffering from arthritis pain are frequently advised to lose weight, since additional weight places an added burden on the joints.
In a small minority of cases, medication and lifestyle changes do not provide the desired pain relief and doctors may recommend surgery. Surgical procedures can remove tissue within the joint, or else realign or replace the joint.
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Monday, December 28th, 2009
So what are the differences between fibromyalgia and chronic fatigue syndrome? It depends on whom you ask.
Some experts think they might be two names for the same condition. Between 50 and 70 percent of people diagnosed with one condition could just as easily be diagnosed with the other, according to the Arthritis Foundation.
In fact, a physician’s familiarity with each disorder may influence the eventual diagnosis. For example, a doctor with a long history of treating fibromyalgia is more likely to diagnose this condition than CFS.
The National Institutes of Health says that CFS should not be diagnosed if a patient has a similar condition such as fibromyalgia, unless that condition has been adequately treated and would no longer be causing fatigue and other symptoms. However, some doctors may choose to make a dual diagnosis of CFS and fibromyalgia.
Though the two conditions share many symptoms (such as sleep problems and cognitive disturbances) some small but crucial distinctions can be made. Those distinctions may be summarized as fatigue or pain. Most patients have one symptom more than the other. For example:
* Pain is a more prominent feature of fibromyalgia than CFS. Injuries and trauma (physical or emotional) may trigger fibromyalgia. Chemicals that help the body transmit and interpret pain signals may not be present at normal levels in fibromyalgia patients.
* Fatigue is a more prominent feature of CFS. A flu-like illness often precedes CFS symptoms, and patients with this condition are less likely than patients with fibromyalgia to have individual tender areas on their bodies.
Of the two conditions, fibromyalgia is more readily acknowledged as a legitimate condition by the medical community. The nature of CFS remains controversial, with disagreement over its definition, diagnosis and treatment. Some doctors may still not even recognize CFS as a legitimate disorder, but recent research shows it has a biological basis.
Treatment options
Because fibromyalgia and chronic fatigue syndrome are so similar, they share many treatments. These include:
* Exercise therapy. Steady, gradual exercise is typically recommended. Patients may use a combination of aerobic, strength training and flexibility exercises. Experts such as physical therapists may devise an appropriate exercise program, and teach patients how to recognize when they should be active and when they need to rest.
* Medications. Drugs may be used to treat pain, depression, fatigue and other symptoms. Such medications include nonsteroidal anti-inflammatory drugs (NSAIDs, such as aspirin), analgesics and antidepressants. One drug, an anticonvulsant, has been approved specifically to treat fibromyalgia. Sometimes medication may be causing symptoms, so it’s good to talk to your doctor about possible side effects of the drug.
* Cognitive behavioral therapy. This treatment has been shown to help fibromyalgia and CFS patients cope with their symptoms. This therapy helps patients stay positive and increase activity.
* Stress management and relaxation therapy. Classes, support groups and other methods can help patients reduce stress and insomnia, both of which can worsen fibromyalgia symptoms. Biofeedback (in which patients use their minds to control symptoms in their bodies) and massage therapy also can help.
If you experience chronic pain or fatigue, consult your physician. Diagnosis and treatment can significantly reduce symptoms associated with these syndromes.
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Wednesday, December 23rd, 2009
Aches and pains with no obvious cause? Constantly tired despite getting plenty of rest? If you answer yes to either question, you may have fibromyalgia or chronic fatigue syndrome. Or possibly both.
Fibromyalgia and chronic fatigue syndrome are two conditions characterized by their difficulties: difficult to diagnose, treat, deal with and, for some patients, even to prove they exist.
Fibromyalgia causes chronic widespread pain and multiple tender areas known as trigger points. Patients also often experience insomnia, fatigue, headaches, memory difficulties, depression and other symptoms.
Chronic fatigue syndrome (CFS) is marked by profound, long-lasting fatigue. Patients rest but cannot shake the overwhelming feelings of tiredness. There also other symptoms, such as impaired memory, sore throat, tender lymph nodes and muscle or joint pain. These patients usually wake up feeling tired and fatigued in the morning.
Both syndromes are more common in women than in men. And in each condition, the cause is unknown.
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Monday, December 21st, 2009
Soma is a muscle relaxer that works by blocking pain sensations between the nerves and the brain.
Soma is used together with rest and physical therapy to treat injuries and other painful musculoskeletal conditions.
Soma may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Soma passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Very limited data in humans show that SOMA is present in breast milk and may reach concentrations two to four times the maternal plasma concentrations. In one case report, a breast-fed infant received about 4-6% of the maternal daily dose through breast milk and experienced no adverse effects. However, milk production was inadequate and the baby was supplemented with formula. In lactation studies in mice, female pup survival and pup weight at weaning were decreased. This information suggests that maternal use of SOMA may lead to reduced or less effective infant feeding (due to sedation) and/or decreased milk production. Caution should be exercised when SOMA is administered to a nursing woman.
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Friday, December 18th, 2009
The battle against illegal drug abuse has taken a new turn with the growing number of cases involving the use of muscle relaxant medications. The fact is, muscle relaxant medications do have ingredients and effects that are considered habit-forming. These drugs, similar to some narcotics, target some areas of the central nervous system to reduce or eliminate the sensation of pain. Users of the medication may experience aslight “buzz” that may be likened to the “high” effects of certain narcotic substances. In particular, the sensation has sometimes been compared to morphine, which is also used to control pain. Morphine is classified as a pain killer and it does have a muscle relaxant effect. Both drugs target the central nervous system by inhibiting the production or flow of certain chemical transmitters. In the case of morphine, the drug temporarily disables the neurotransmitters that signal the body to feel pain in certain afflicted areas. In the case of a muscle relaxant, the drug actually also works to control the amount of activity involving the chemical receptors and transmitters. Also, the morphine is used to remove the sensation of pain to prevent the patient from recognizing that physical damage is occurring, whereas a muscle relaxant is designed to help prevent damage to muscle tissue.
The latest statistics show that muscle relaxant addiction is still far from being considered a rampant social problem. But if not addressed properly, it can be a serious concern in the not-to-distant future. While there are some pain killing drugs available in the market, these are thought to be too mild to generate the addictive “buzz” that addicts crave for. According to some reports, there are some more potent muscle relaxant drugs being tested out that might be made available without a doctor’s prescription. If that is the case, then the number might increase.
Another factor to consider might be that some people addicted to pain killers might actually be unaware that they are developing an addiction, or are actually hooked on drugs. Denial is actually one of the strongest characteristics among people with substance abuse problems. Persons addicted to narcotics or prescription medication slide down gradually, only to find themselves emotionally, psychologically, and physically bound to excessive drug use.
Since these medications can be used either on a regular basis or whenever the patient needs them, it can be difficult to determine if someone is using them irregularly or has developed a dependency. The easiest way to tell would be to know doses taken each day. The larger the doses taken regularly, the faster that a user can develop dose tolerance which can lead to a progressively larger intake of the drug.
Substance abuse, including the unregulated intake of pain killers, is a problem that should concern everyone. If left unattended, it can be next major problem for law enforcement. Fortunately, majority of pain killers are still prescription drugs that cannot be obtained without approval from a doctor or licensed pain therapist. Still, adequate attention must be made on just how many patients are prescribed with pain killing products, how much is now being consumed in the market, and by whom. The right to maintain privacy when it comes to receiving medication is important. However, taking steps to prevent a good thing, such as the availability of drugs to help patients in great pain, to turn into a negative thing that turns these very same drugs into substances that actually control instead of bringing more pain over the long haul.
There are a number of classes within the Benzodiazepines Category: Hypnotic, Anxiolytic, Anti-Seizure, Muscle-Relaxant, and Amnesic.
The Muscle Relaxant category is more common because so many people are prescribed drugs such as Flexeril and Valium. The addictions to these drugs and withdrawal from the drugs are among some of the most avoided topics within Drug Addiction. Depending on the addiction and “flavor” of choice, to walk away from Benzodiazepines will require prolonged treatment, but only after a detoxification to be remembered. It is a tough drug to get completely out of the system.
Symptoms of the Addiction:
1. Unable to cope without the drug
2. Overly concerned with where the medication is at any given time
3. Increasing dose over time
Possible Treatment Options:
1. Use of SSRI’s to help in Detox
2. Taper off the drug
3. Homeopathic Remedies
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Wednesday, December 16th, 2009
What is TENS Therapy?
TENS Therapy gently stimulates nerves and blocks pain signals before they can be received by the brain. It is especially popular in elderly patients, who may be severely affected by side effects from strong prescription medications; however, it may be used by anyone suffering from pain. TENS Therapy is generally used to relieve back pain, but many types and causes of pain may benefit from it, including arthritis.
Some people are a bit apprehensive about receiving TENS Therapy. The sensation produced by the TENS machine is relaxing rather than painful and the current used for stimulation is very low. In the event that the machine is turned up too high, the patient may experience minor discomfort in the form of tensing muscles. The sensation is comparable to receiving too much pressure during a massage. If this occurs, the setting can be adjusted quickly and easily.
Since the intensity of the impulses rises and falls, a patient may adjust to it after a few cycles if he or she is able to relax. If not, the patient should certainly inform the therapist and ask for a lower setting. The therapist should always ensure that the proper setting has been achieved and is comfortable for the patient, before leaving the room. A good therapist will come back intermittently to check on the patient and make sure the setting is still comfortable.
For those that acquire a TENS machine for personal use, the setting should be determined by the doctor. The machine must only be used as prescribed. If you suffer from chronic pain, but prefer to treat it without the use of drugs, ask your doctor if TENS Therapy is right for you.
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Monday, December 14th, 2009
Polymyalgia rheumatica (PMR) is an inflammatory disorder that causes widespread muscle aching and stiffness, primarily in your neck, shoulders, upper arms, thighs and hips.
Although some people develop these symptoms gradually, polymyalgia rheumatica can literally appear overnight. People with polymyalgia rheumatica may go to bed feeling fine, only to awaken with stiffness and pain the next morning.
Just what triggers polymyalgia rheumatica isn’t known, but the cause may be a problem with the immune system, perhaps involving both genetic and environmental factors. Aging also appears to play a role.
Polymyalgia rheumatica usually goes away on its own in a year or two. But you don’t have to endure polymyalgia rheumatica for months or years. Medications and self-care measures can improve your symptoms.
Polymyalgia rheumatica symptoms may include:
* Moderate to severe aching and stiffness in the muscles in your hips, thighs, shoulders, upper arms and neck
* Fatigue
* Unintentional weight loss
* Weakness or a general feeling of being unwell
* Sometimes, a slight fever
* Anemia — low red blood cell count
Initially, you may have pain on just one side of your body, but as the disease progresses, symptoms are likely to occur on both sides.
Stiffness is usually worse in the morning or after sitting or lying down for long periods. At times, the discomfort may also be severe enough to wake you at night.
The aching and stiffness of polymyalgia rheumatica often occur suddenly, but sometimes may develop gradually.
Between 10 percent and 20 percent of people with polymyalgia rheumatica have a related condition called giant cell arteritis, which causes the arteries in your temples and sometimes in your neck and arms to become swollen and inflamed.
Polymyalgia rheumatica is an arthritic syndrome that causes your muscles to feel achy and stiff due to mild inflammation in your joints and surrounding tissues. Most of the inflammation occurs in the hip and shoulder joints, but it may develop elsewhere in your body as well. In general, the inflammation isn’t as severe as that in inflammatory types of arthritis, such as rheumatoid arthritis.
In polymyalgia rheumatica, inflammation occurs when white blood cells — which normally protect your body from invading viruses and bacteria — attack the lining of your joints (synovium). Researchers aren’t sure what causes this abnormal immune system response, but they suspect that as with many disorders, both genetic and environmental factors are involved.
There may be a link between polymyalgia rheumatica and certain viruses, such as adenovirus, which causes respiratory infections ranging from the common cold to pneumonia; human parvovirus B19, the source of an infection that primarily affects children; and human parainfluenza virus.
Although the exact causes of polymyalgia rheumatica are unknown, certain factors may increase your risk of developing the disease, including:
* Age. Polymyalgia rheumatica affects older adults almost exclusively — the average age at onset of the disease is 70.
* Sex. Women are twice as likely to develop the condition as men are.
* Race. Although polymyalgia rheumatica can affect people of any race, the vast majority are white. People of Northern European and Scandinavian origin are particularly at risk.
* Giant cell arteritis. Also at risk are people with giant cell arteritis, a condition that causes arteries in your temples or sometimes other parts of your body to become swollen and inflamed. As many as half the people with giant cell arteritis also have polymyalgia rheumatica.
See your doctor if you suspect you have polymyalgia rheumatica. Some people delay getting medical care because they think it’s normal to have aching and stiffness as they grow older. But persistent pain is never normal. And because doctors can successfully treat polymyalgia rheumatica, you can be spared months or even years of unnecessary discomfort and disability.
If you’ve been diagnosed with polymyalgia rheumatica and experience new intense headaches, scalp tenderness, vision problems or achiness in your jaw, tell your doctor, as these may be symptoms of giant cell arteritis.
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Friday, December 11th, 2009
Alternative Names: Calcium pyrophosphate dihydrate deposition disease; CPPD disease
Pseudogout is a joint disease that can cause attacks of arthritis. Like gout, the condition involves the formation of crystals in the joints. But in pseudogout, the crystals are formed from a salt instead of uric acid.
Pseudogout is caused by the collection of salt called calcium pyrophosphate dihydrate (CPPD). The buildup of this salt forms crystals in the joints. This leads to attacks of joint swelling and pain in the knees, wrists, ankles, and other joints.
Among older adults, pseudogout is a common cause of sudden (acute) arthritis in one joint.
Pseudogout mainly affects the elderly. However, it can sometimes affect younger patients who have conditions such as:
* Acromegaly
* Hemochromatosis
* Ochronosis
* Parathyroid disease
* Thyroid disease
* Wilson disease
Because the symptoms are similar, pseudogout can be misdiagnosed as:
* Gouty arthritis (gout)
* Osteoarthritis
* Rheumatoid arthritis
Symptoms
* Attacks of joint pain and fluid buildup in the joint, leading to joint swelling
* Chronic (long-term) arthritis
* No symptoms between attacks
Exams and Tests
* An examination of joint fluid would show white blood cells and calcium pyrophosphate crystals.
* Joint x-rays may show joint damage, calcification of cartilage, and calcium deposits in joint spaces.
Careful testing and analysis of crystals found in joints can help the doctor diagnose the condition. Fortunately, because most conditions involving joint pain are treated by the same medicines (such as steroids and nonsteroidal anti-inflammatory drugs), an early mistaken diagnosis does not necessarily result in the wrong treatment.
Treatment
Treatment may involve the removal of fluid to relieve pressure within the joint. A needle is placed into the joint and fluid is removed (aspirated).
Steroid injections may be helpful to treat severely inflamed joints. A course of oral steroids is sometimes used when multiple joints are inflamed.
In some cases muscle relaxants and Nonsteroidal anti-inflammatory medications (NSAIDS) may help ease painful attacks. Colchicine (may be useful in some people.
Gout produces sudden, recurring attacks of very painful arthritis, which are caused by deposits of crystals that accumulate in the joints. Pseudogout is very similar but involves a different type of crystal.
Men are more likely to develop gout than women are. People with kidney disease or who are taking certain drugs are also at a higher risk. Gout usually develops during middle age in men and after menopause in women, while pseudogout tends to affect older people of both sexes equally.
More Symptoms
Gout causes attacks of sudden, severe pain in one or more joints. The pain becomes worse with time and may become excruciating. The affected joint swells and the skin over it becomes warm, tight, shiny, reddish-purple and extremely painful. The base of the big toe is most often affected, followed by the instep, ankle, knee, wrist and elbow. Gout may also cause fever, chills and a rapid heartbeat.
Pseudogout causes widely varying symptoms of joint pain and stiffness, which may be constant or occasional but are usually less severe than gout symptoms.
Other Treatments
* During an attack, NSAIDs, colchicine and sometimes corticosteroids to reduce pain and inflammation
* To prevent an attack, weight loss and dietary changes or low-dose NSAIDS and/or colchicine
* Other drugs (probenecid, sulfinpyrazone and allopurinol) to reduce chance of gout crystals forming in the joints
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Wednesday, December 9th, 2009
Muscle pain and injuries take real shape of a disease and can be a major problem when some one has grown real old.
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Monday, December 7th, 2009
Soma is a muscle relaxer that works by blocking pain sensations between the nerves and the brain. Soma is used together with rest and physical therapy to treat injuries and other painful musculoskeletal conditions.
Soma can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by Soma. Tell your doctor if you regularly use any of these other medicines. Avoid drinking alcohol. It can increase drowsiness and dizziness caused by Soma.
Do not use Soma if you are allergic to carisoprodol or meprobamate (Equanil, Miltown), or if you have porphyria.
Before using Soma, tell your doctor if you are allergic to any drugs, or if you have:
* epilepsy or other seizure disorder;
* liver disease; or
* kidney disease.
If you have any of these conditions, you may need a dose adjustment or special tests to safely take Soma.
Soma may be habit-forming and should be used only by the person it was prescribed for. Soma should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. You may have withdrawal symptoms when you stop using Soma after using it over a long period of time. Withdrawal symptoms include stomach pain, sleep problems, headache, nausea, and seizure (convulsions). Do not stop using Soma suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely. Soma may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Soma passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medication to a child younger than 12 years old.
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Soma and call your doctor at once if you have any of these serious side effects:
* paralysis (loss of feeling);
* extreme weakness or lack of coordination;
* feeling light-headed, fainting;
* fast heartbeat;
* seizure (convulsions);
* vision loss; or
* agitation, confusion.
Less serious side effects may include:
* drowsiness, dizziness, tremor;
* headache;
* depression, feeling irritable;
* blurred vision;
* sleep problems (insomnia); or
* nausea, vomiting, hiccups, upset stomach.
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.
There may be other drugs that can affect Soma. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
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