Archive for June, 2009
Monday, June 29th, 2009
In the past, individual’s suffering from chronic pain had been relegated to a life of certain misery attributed to their physical condition with little hope of improvement or relief offered from the medical community in general. Bed rest and heavy doses of narcotics were the standard treatment, with options few and prescription drug abuse rampant in those with chronic pain issues. To imply that mobility and quality of life was severely limited is an understatement, as a large percentage of those suffering chronic pain became bedridden and prematurely aged and died due to a lack of activity. Those people who lived a normal life span were inflicted not just with the agony of constant chronic pain, but the depression that can accompany most lingering illnesses.
The prospect of relief for those suffering from chronic pain has become a reality for many, mostly due to considerable medical research in the area of pain management. In retrospect, health care providers looked at ways to stop chronic pain after the patient had presented symptoms. Recent advancements in the area of pain management for those suffering chronic pain has included the investigation of the root causes of pain, as well as ways to prevent chronic pain and treat those afflicted with the limited use of addictive drugs. The diversity and expansion of the pain management field of medicine has given hope that while chronic pain may not be alleviated in every case, a chance of a patient returning to an active lifestyle is a distinct possibility.
Those more recent advancements in chronic pain treatment have included the use of practices once thought useless to conventional medicine, including acupuncture and holistic medicine. Massage therapy has become an integral part of modern pain management treatment, as well as diet and regular exercise. Many of the newer prescription drugs given to those suffering chronic pain are of the non-narcotic variety, and regular mental health checkups are utilized to stave off and reduce the emotional impact of chronic pain on those afflicted. The invention of electronic pain-blocking apparatus such as the TENS Unit has enabled many patients suffering chronic pain to experience relief with only the TENS Unit and occasional over the counter pain relievers. This singular advancement has prevented patients from suffering the common side effects associated with the usage of large amounts of any prescription cost, not to mention the cost incurred.
Perhaps the most important advancement in the treatment of chronic pain is the realization of the medical community to view the patient as a whole being, and to address the issue of pain management from an objective position on many levels.
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Monday, June 22nd, 2009
Elsie, a ten year old neutered female terrier suddenly started trembling all over. She refused her food, and she looked miserable. Her owner knew that something was seriously wrong, so she brought Elsie in to see me.
It was obvious as soon as Elsie walked into the consulting room that there was something wrong with her. She was moving slowly, and trembling all over, from her head to the tip of her tail.
When an animal is brought to the vet, the problem is sometimes very obvious. Other times, like with Elsie, it can be more difficult to identify what is wrong. This is a classical example of the difficulty caused by the fact that animals cannot talk. I could not ask Elsie to tell me what she was feeling.
Vets need to use other methods than speech to try to work out what is happening with their patients. We need to look for clues by asking owners questions, and by carrying out a series of examinations and tests. The process can be similar in some ways to solving a crossword puzzle, or a mystery in a detective novel, and it can be very rewarding to finally discover the cause of a problem.
First of all, I asked her owner for a very detailed account of exactly how Elsie was behaving at home. I discovered that Elsie had been completely normal the previous day, so the problem had a very sudden onset. This fact immediately ruled out certain slow-onset illnesses. Elsie had very few physical symptoms apart from the dullness and trembling. She not coughing, her breathing was normal, and there were no signs of a digestive upset.
I also found out that there were some specific aspects to Elsie’s behaviour that gave useful clues about the cause of her problem. She would not bend down to eat her food, but if she was fed morsels by hand, she would take them. And she was able to walk around the room slowly, but she completely refused to do normal activities like going up steps or jumping into the car.
Next, I carried out a careful physical examination of Elsie. This is a standard procedure that vets do every day with each patient, checking everything to make sure that there are no abnormalities. I started at her head, looking at her eyes, mouth and ears, and worked back along her entire body. I took her temperature, and listened carefully to her chest with my stethoscope. Elsie seemed generally very fit and healthy, although her heart was beating more rapidly than normal, and she continued to tremble like a wobbling jelly.
The final part of my examination was to feel carefully along her spine, starting with her neck, and moving backwards. This was where I finally found out what was bothering her. She did not mind at all as I examined her upper back, but when I moved down and gently prodded her lower back, she yelped in pain, and stared at me indignantly with her big brown eyes. I had found the site of her problem.
Elsie was showing all of the classical signs of lower back pain. Her behaviour (such as not going up steps) was typical of a sore back, and the physical examination had confirmed the location of her pain.
There are many causes of back pain in dogs, and I admitted Elsie to our hospital for further investigations. I took a series of x-ray pictures of her entire spine. These showed changes in her lower back that were consistent with a slipped disc, a problem that is as common in dogs as it is in humans.
Treatment of slipped discs in dogs usually involves a combination of pain relief and strict rest. In a minority of cases, spinal surgery may be needed.
It is difficult to force a dog to rest. As soon as Elsie was given pain relief, she would feel much better, and she would be as keen as ever to go for a long, energetic walk. Unfortunately, if she did this, her slipped disc would be likely to slip even further in the wrong direction, causing a severe aggravation of her pain, or even progressing to paralysis of her back legs. To prevent this, dogs with back pain need to be physically forced to rest.
Her owner bought a collapsible wire metal cage which became Elsie’s home for the next three weeks. She was only allowed out of the cage on a lead, for ten minutes twice a day.
Elsie stopped trembling within a few hours of being given pain relief. She brightened up and she started to eat normally. She soon grew used to living in her cage, and after two weeks of rest, she was allowed out to go for her first walk on a lead. Since then, she has gradually increased her activity, week by week. Elsie may have further episodes of back pain in the future, but for now, she has returned to living a normal, active life.
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Saturday, June 20th, 2009
Pain. Just hearing the word can make you uncomfortable. Some people even begin to experience discomfort in their normal areas of pain when they hear the word. Whatever type of pain you’re experiencing, you want to find the best relief available.
So, where can you go to find pain relief?
Your local drugstore: Most people take a trip to the drugstore and pick up an over-the-counter pain relief product. Common products we’ve all heard of are acetaminophen, ibuprofen, and naproxen. These medications will do the trick for many people and for most minor pains.
Your personal physician: Other people choose to visit their doctors especially if the pain is caused by an acute injury or has been occurring for a while without change. Your doctor may prescribe a prescription pain relief drug or suggest that you take an over-the-counter remedy from the drugstore. In either case, many people feel better just knowing that a doctor is giving them advice and this can go a long way toward relieving pain.
Your health food store: People who don’t like to take prescriptions or have had reactions to them often search out alternative health methods of pain relief. Nowadays you can find more products than you could possibly imagine. It’s good to do some research on the best available products. Although health store personnel are generally not allowed to give medical advice, they can tell you which products are their bestsellers or which products have worked for them personally.
Your kitchen: Did you know that there are foods and herbal teas that can help relieve pain? Many good books are available that can guide you toward the best food remedies for your pain. This is a good option if you are someone who has trouble taking medications.
Pain relief–we all need it at some time or another. As individuals, we each choose our own path to discovering the best pain relief options for ourselves. Keeping an open mind will ensure that you give yourself every opportunity to relieve your pain.
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Thursday, June 18th, 2009
Studies have shown that increasing your intake of the mineral magnesium can help to decrease the incidence of menstrual cramps. Magnesium is a naturally occurring mineral that is found in many different kinds of foods including leafy green vegetables such as lettuce and broccoli, whole grains, seeds, and a variety of nuts. Magnesium can also be purchased as a nutritional supplement. You can purchase magnesium alone or buy it in combination with calcium, which is another mineral that has been indicated as instrumental in helping to decrease menstrual cramps and other pain.
Magnesium is required by the body for more than 300 different biochemical reactions. This essential mineral is needed to build muscle and required for normal nerve function while it also is responsible in part for regulating the level of blood sugar. Magnesium also plays an integral role in the development of bones, immune system function, blood pressure, and heart rhythm.
Be aware that consuming too high a low a dose of the mineral magnesium on a regular basis can lead to negative side effects such as low blood pressure, an irregular heart rate, weakness in the muscles, problems with breathing, nausea, diarrhea, loss of appetite, and mental confusion. Too much magnesium in the system can negatively interact with a variety of medications such as medications prescribed for high blood pressure (such as calcium channel blockers) and osteoporosis as well as a variety of antibiotics, muscle relaxants, and diuretics. Always consult with your doctor about the dosage of magnesium you require to help with your menstrual pain.
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Wednesday, June 17th, 2009
There are a variety of holistic and alternative methods that can help to relieve the pain and discomfort that is often par for the course when it comes to menstrual periods for women. A number of studies have shown a positive correlation between increasing one’s intake of omega-3 fatty acids in terms of fish oil and a reduction in menstrual cramps. Omega-3 fatty acids are found in plentiful supply in fish such as salmon, sardines, anchovies, and mackerel.
If you are not a fish lover, you can still get your share of the healthy omega-3 fatty acids by way of fish oil capsules which can be purchased at most health food stores and grocery stores. Be aware that fish do contain a certain amount of mercury and pollutants such as PCB’s so there are instances where it is possible to overdo a good thing. Capsules may be preferable as all of the impurities and pollutants are taken out of the product before it reaches the stores for consumers to purchase. Always look for the active ingredients EPA and DHA when it comes to fish oil capsules.
If you choose to increase your intake of fish oil in order to decrease your monthly menstrual cramps be aware that you need to eat more fish or consume more fish oil on a consistent basis and not just during the days that you have your period or the week preceding your period. More and more evidence is pointing to the effectiveness of fish in maintaining a healthy and well balanced diet. Fish is not just beneficial when it comes to menstrual cramps but it can be useful in regards to a number of different health conditions.
If you are not a person who enjoys fish, then experiment with different kinds of fish as well as different recipes in order to find ways of preparing and eating fish that are more appealing to you. For example, baked salmon that is wrapped in tin foil is delicious. Add a little bit of olive oil to the fish and then squeeze a tiny squirt or two of lemon. Include a slice of lemon in the pan if you like. Sprinkle a tiny portion of your favorite spice and then wrap it in aluminum foil and let it bake. In this way the aluminum foil acts as a type of oven so the fish cooks in its own juices.
If you take aspirin on a regular basis or if you are on any drugs that thin the blood such as warfarin (Coumadin), be aware that fish oil capsules can work negatively with these drugs and a doctor should be consulted before you consider taking them. Some of the potential side effects that could occur with the combination of these drugs include bleeding and indigestion. Take fish oil before you eat a meal to help prevent the fishy taste.
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Monday, June 15th, 2009
5 Ways To Get Rid Of Acid Reflux Naturally
Chronic acid reflux sufferers are always searching for that extra measure they can take to get rid of it once and for all. Although these acid reflux alternative treatments can depend on lifestyle changes overall, most will work for you and everyone else that takes these cautions appropriately.
Lifestyle changes. This is the first thing doctors will advise you to take control of. Your lifestyle will affect your body for years to come, and acid reflux can be treated with following a healthy lifestyle change. Heartburn and acid reflux can be prevented through simple lifestyle changes.
Dieting. Specific foods are the main source of acid reflux, and knowing those foods can help you later on when you’re coming up with a diet and nutrition plan in helping you to rid of acid reflux, and decrease your symptoms once and for all.
Over-the-counter remedy. These types of drugs work by decreasing the total amount of acid in the stomach which might creep up into your esophagus and cause acid reflux. It is usually used to treat conditions in which the stomach produces too much acid that can leak to the esophagus.
Prescription Medications. Proton pump inhibitors (PPI) are a group of prescription medications that prevent the release of acids to your esophagus. This is a well known acid reflux alternative treatment used by many people today.
Physical activity helps cleansing, and brings balance and relieves the stress within you. Psycho-physical activities will help you balance your body and will help you relieve some of that accumulated stress.
Yet, physical activity can also help with your acid reflux by cleansing the acids within your stomach through cardiovascular exercises. Examples of physical activity can include Tai Chi, chi Gong, meditation, Yoga, martial arts, dancing and aerobics, swimming, and weight lifting etc.
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Thursday, June 11th, 2009
Menstrual pain, including the cramps and other types of discomfort it brings along with it, is no fun at all. Also referred to as dysmenorrhea, cramps are usually experienced as a dull, throbbing pain that makes itself known in the lower part of the abdomen before and during the monthly menstrual periods. Many women also experience pain in the lower part of the back or the thigh area. Some women suffer more discomfort than others.
Menstrual cramps are broken down into two different categories: primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea is the type that most women experience. It generally starts a few years after the menstrual cycle kicks into gear and is related to hormone-like substances that are known as prostaglandins. Prostaglandins are substances that are naturally produced by the body and they are believed to be the cause of the pain and inflammation and sometimes even fainting and nausea, that accompany the monthly menstrual period. Primary dysmenorrhea is in no way connected to any type of physical dysfunction in the body.
Secondary dysmenorrhea on the other hand is the sign of a problem and should be checked out immediately. Secondary dysmenorrhea always has a physical cause underlying it. Some of the most common causes include uterine fibroids or uterine polyps, endometriosis, and pelvic inflammatory disease (PID).
If you suffer from menstrual cramps, whether they be mild to moderate to severe, it is important to schedule an appointment with your doctor for a check up so that the source of the problem can be properly diagnosed. If you are diagnosed with regular menstrual cramps (or primary dysmenorrhea) then simply taking an ibuprofen and getting extra rest should help. Exercise is also recommended as a method of alleviating the pain associated with monthly menstruation. It is wise to cut back significantly on your intake of caffeine as you near “that time of the month.”
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Tuesday, June 9th, 2009
Pitchers suffer an inordinate number of arm injuries in large part because the human body wasn’t designed to fling baseballs 90 or more miles per hour. And, for that matter, the human body may not have been designed for us to even walk upright, surmises Houston pain specialist Dr. Uday Doctor, because of the world of hurt our spines can cause us.
Doctor is chief of pain management at the Texas Orthopedic Hospital. He stays busy because of the inherent design flaws in our backbones vis-à-vis how we use our bodies in jogging, lifting heavy objects and whacking golf balls.
Doctor, who is board-certified to practice interventional spine care, is hardly alone in his field. There are more than 150 physicians in the area who are pain management specialists. And who knows how many chiropractors, acupuncturists and physical therapists also earn a living off our agony?
As we reach a certain age, most of us start to hurt, which wreaks havoc on the quality of our lives, affecting mood, motor functions and concentration.
Doctor suggests that there are two kinds of chronic pain, that which is caused by cancer and that which emanates from diseased and damaged nerves.
The former, he said, is treated by throwing the book at it with little regard for the consequences. Side effects and the risk of addiction are secondary concerns.
“You’re just trying to relieve suffering,” Doctor said, “and that’s especially true if the patient is terminal. All you’re trying to do is make them more comfortable.”
For those coping with nerve pain, however, it’s trickier because addiction issues and side effects of the most potent painkillers do matter. We don’t want to spend every waking moment groaning and grimacing, but we certainly don’t want to turn into junkies, either.
Attacking the problem with surgery is no black-and-white solution. Spinal operations, in particular, remain a dicey proposition, and it’s the spine — particularly the disks separating the vertebrae — that’s often the source of pain. For example, while a stabbing ache in the shoulder could be a torn rotator cuff, it’s more likely to be the byproduct of a herniated disk between the C6 and C7 vertebra, “pinching” the nerve leading to the shoulder.
Dr. Tom Blair, a retired pulmonary specialist at St. Joseph’s Hospital, has battled back problems for 40 years. He takes Naprosyn, a prescription-strength anti-
inflammatory drug, and stays as active as he deems prudent. He thinks shutting down completely because you’re hurting inflicts psychological damage that exacerbates physical discomfort.
Blair’s advice? Educate yourself. Make every effort to know your body — so you’ll know why you’re hurting — before deciding what to do about it. And, he adds, “Don’t turn yourself over to somebody you don’t have good references on or who won’t explain what they’re doing, and why they’re doing it.”
The old-school way of thinking about pain offered two options, sucking up and living with it or swallowing hard and going under the knife. Fortunately, there are other options. For example, Doctor and his partners at SpineCare Consultants (www.spinecare1.com) are practitioners of the nerve root block, which attacks pain without major invasive surgery.
Yes, they will stick a needle or two in your neck or lower back. But that’s a far cry from having an epidural, never mind fusing vertebrae.
And most insurance plans cover it even without a referral from a primary-care physician.
“We find the nerve that’s inflamed and we put (anti-inflammatory) medication directly on it,” Doctor said. “It’s critical to isolate the source of the pain. Say your shoulder hurts. In the old days, we’d probably scope it. If that didn’t work, then we’d operate on your neck.”
Michael Cokinos, president of Cokinos Energy Corp., says the nerve block ended his searing back, arm and hand pain. But, ever fearful of a stress-induced relapse, Cokinos regularly visits a chiropractor, Dr. Ron Grabowski, who Doctor recommended. Grabowski’s mission is to keep Cokinos’ C7 vertebrae from re-settling on the nerve.
“I thought I was going to have to live with (the pain) the rest of my life,” Cokinos said. “But I feel like I’m 150 percent of my old self. I’m working out again and feeling great. What a relief.”
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Monday, June 8th, 2009
An acid reflux cure can range from over-the-counter medications, herbal remedies, and natural treatments that people have come to know today.
Acid reflux treatment may vary from person to person, depending on the seriousness of the disease and the individuals’ body condition. Unfortunately, there isn’t one acid reflux cure for all. Adopting lifestyle changes may be enough for some people to control the pain and discomfort you suffer.
The first acid reflux cure is to avoid foods that cause acid reflux. Other lifestyle changes include avoiding overeating, alcohol consumption, coffee, and smoking. An obese person may lose the excess pounds as a part of the acid reflux treatment plan.
Acid reflux symptoms can worsen at night due to the lying position when you are sleeping. To counteract this, try raising the upper body by about 8 inches while you sleep. As an alternative, consider using an acid reflux pillow.
Taking prescribed acid reflux medications might be necessary depending on the acid reflux. This is when lifestyle changes are not enough. The most common over-the-counter acid reflux cures are antacids and H2 blockers.
Antacids rely on the principle of reducing the amount of acid that builds up in your stomach, whereas the H2 blockers inhibit the secretion of acid in the stomach. When the acidity in the stomach is reduced, the occurrence of acid reflux will reduce also.
Harmful side effects may occur, so make sure to consult a doctor before taking such medication. Other herbal acid reflux treatment, such as herbal tea, cinnamon, pineapples, grapefruit, and chicory root tea have lesser side effects and are fast becoming popular. Some people use homeopathic acid reflux cure such as acid reflux and vinegar. Always use alternative acid reflux medicines with caution.
Acid reflux surgery is for those who do not wish to rely on medication indefinitely, or if their medications are ineffective. A surgical operation is available which can be conducted to strengthen the barrier between the esophagus and the stomach, thus preventing the acid reflux from happening altogether.
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Saturday, June 6th, 2009
At this point acid reflux has become a very common condition that many people suffer from. Acid reflux attacks can be so painfull that some people feel as if they are about to take a heart attack. This is a condition that can be kept under control. There is no reason anyone should have to suffer with pain like that. Simply watching what you eat and a good acid reflux home cure is enough. In this article we will take a look at some of things you can to do keep your condition at bay.
Start off by writing down foods that bother your stomach. Some common ones are greasy foods, acidly foods, spicy foods, chocolate, coffee, and many others. Some foods may be unique to your condition only. Foods that trigger acid reflux in one person may not trigger the condition in you. A few tweaks in your diet alone can make a huge difference.
The next thing you need to do is find a good homeopathic cure for acid reflux. There are many of them out there. The first one you should try is apple cider vinegar. By no means is apple cider vinegar a permanent cure. It is simply a way to give yourself some relief. All that is needed is for you to take a teasppon when you feel any burning in your stomach or throat areas. The reason this works is becuase it can help your stomach produce the extra acid that it needs. The theory is that your stomach is not producing the acid it needs to break down foods.
Another very useful remedy is apples. Many people have found that by eating an apple every day they can help keep acid reflux away. This isn’t a very long lasting cure for most. Most people will find that this works well for a certain amount of time, but the acid reflux will always come back. However, I highly recommend it. Apples are good for you, and should be part of a good acid reflux diet plan.
Lots of people have had success using baking soda. The best way to take baking soda is to take a half teaspoon with water. If you do this once in the mourning and once at night you should see allot of relief. This works as its best when you use a healthy diet to your advantage. There is no way you can expect to overcome acid reflux if you keep eating foots that bother your stomach.
The next time you get acid reflux or heartburn be sure to give some of these remedies a try. I think you will be surprised by how well they work over normal medications.
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