Archive for January, 2010

Back Pain: Causes, Prevention and Tramadol

Friday, January 29th, 2010

Unfortunately, there are no easy answers to what causes lower back pain. However, there are ways to prevent problems in this area before they begin, and treatments, like Tramadol, help back pain sufferers.

What are the most Common Causes of Lower Back Pain?

To avoid ever having to take a medicine, for back pain, it is important to understand the causes and preventions of such injuries. Lower back pain is most commonly caused by one or more of the following:

* Lumbar strain: This causes acute and often chronic pain resulting from a stretching injury to the ligaments, tendons or muscles.

* Nerve irritation: Lower back pain caused by the irritation of the nerves due to a mechanical or disease-oriented problem.

* Lumbar radiculopathy: When nerve irritation damages the discs of the spinal column, it is referred to as lumbar radiculopathy.

* Bony encroachment: Slippage, foramenal narrowing, or any impediment to movement and growth along the spine may cause encroachment.

* Bone and joint conditions: These can be congenital, like scoliosis, or age-related, like arthritis.

* Degenerative bone and joint conditions: These include degeneration of the disc, spondylosis, or osteoarthritis.

* Injury: This includes, but is not limited to, fractures or stressors on the lumbar spine.

While it is virtually impossible to prevent congenital issues with the spine, other ways to avoid having to take a back pain medication, everyday is to exercise, lift with your knees and not your back, and practice stretching everyday.

What is Tramadol?

If, however, you already suffer one of these ailments, or have lower back pain from another less common injury, like post-pregnancy, then you may want to consult your doctor about Tramadol. Tramadol, especially in time-released capsule form, has been proven effective in treating patients who suffer from chronic lower back pain. The side effects, when present, are relatively minor and include headache, constipation, and diarrhea.

Lower back pain is no fun. It can limit mobility and even create problems when it comes to doing ordinary things like riding in a car or sitting at a desk. Before you experience any lumbar pain, take preventative measures by creating a back-friendly exercise regimen and sticking with it, and avoid lifting with your back. However, if you are one of the millions of people who have a pre-existing back pain, check with your doctor about the effectiveness of Tramadol. It has been proven to help those, like you, lead a more pain-free life.

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About Cold Laser Therapy and Chronic Pain

Wednesday, January 27th, 2010

Since Einstein’s discoveries in the early 1900’s, the LASER or Light Amplification by Stimulated Emission of Radiation has been used and studied in a variety of fields. While it has been in use in the veterinary field for the past decade or so, it is only recently finding popularity in the field of chronic pain and chiropractics.

Cold Laser Therapy, or Low-Level Therapy, uses a monochromatic wavelength to penetrate 2-5 cm below the skin’s surface, and interact with light-sensitive elements on the cellular level. This stimulates a natural reaction in the body to increase the healing process, and provide temporary pain relief.

Uses:

Many studies have shown a significant reduction in chronic neck, shoulder and lower back pain with low-level therapy. There are also studies showing possible effects on bone growth, and an increased rate of healing with wounds, specifically burns and scars.

The Treatment:

The device itself is handheld, about the size of a small flashlight. Each treatment lasts less than 20 minutes, as the light is only emitted for a few minutes. The treatment can be repeated as often as necessary, and there are no serious negative side effects. Treatment prices range from $30 to $60 per session, and approved medical devices are approximately $4000, but not available for the public.

Results:

Patients have reported a temporary pain relief that they have not experienced with other procedures such as invasive surgery, chiropractic therapy, and pain medications. The reduced pain and increased functionality allows them to resume regular life activities that they were otherwise denied.

Alternative Benefits:

With other pain management solutions, there can be various issues and side effects. Surgeries are invasive and require ample recovery time, as well as exposure to infection and anesthesia. The medications required for surgery can have severe side effects, and pain medications can become addictive. If low doses of pain medications are being used as a solution, the effects on the patient’s motor skills can be very severe, which has the potential to significantly inhibit their lifestyle. Simple cold laser device treatments increase functionality and reduce pain without any detrimental side effects to daily life.

Natural solutions are becoming more and more popular in daily life; so cold laser therapy solutions might be the next big thing in pain management.

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Pain Relief Through Photography

Monday, January 25th, 2010

Can looking at the photograph of a loved one make pain go away?

Numerous studies show that strong social connections have benefits for health. People who have active social lives seem to live longer than those who are isolated, and married cancer patients have a better outlook than divorced cancer patients. Now, a study [pdf] suggests that merely looking at a photograph of a loved one can relieve the sensation of physical pain.

Psychologists at the University of California, Los Angeles, recruited 25 women who had steady boyfriends. Using a tool that applied heat to the women’s forearms, they turned up the temperature until it was slightly uncomfortable and asked the women to rate the pain they experienced on a scale of one to 20.

The researchers manipulated the heat and recorded the women’s reactions under different conditions: while she was looking at a photo of her boyfriend, or a photo of a complete stranger and a chair. They also had the women rate the pain while they held the hand of a stranger hidden behind a curtain, and as they held their boyfriend’s hand or a squeeze ball.

“We saw lower pain ratings on average when the women were holding their partner’s hand compared with a stranger’s hand or an object,” said Sarah L. Master, the lead author of the paper, who did the study at U.C.L.A. as part of her doctoral research.

When the women looked at photographs of their boyfriends, they rated the pain lower than when they were staring at a photo of a stranger or a chair. Surprisingly, they even ranked the pain lower than they had while holding their boyfriend’s hand.

“It’s interesting that a physical sensation can actually become more manageable by just looking at a photo of someone you find supportive,” Dr. Master said. The study appeared in the November issue of the journal Psychological Science.

Under certain circumstances, Dr. Master suggested, looking at a photo may have an even stronger effect than having the person physically present. “Having the actual person there might not be a good thing if the person is in a bad mood or not being supportive at that moment. A picture could be a better solution,” she said.

Dr. Master said the mere reminder of the loved one may engender feelings of support, possibly by prompting the release of endogenous opioids, chemicals in the brain that have pain relief effects.

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Things You Need To Learn About Foot Pain

Wednesday, January 20th, 2010

Many people around the world are suffering from foot pain, and are in fact, ignoring the pain in exchange for living a normal life. Without thinking what could be the real cause of the pain, most of these people try to tolerate their foot pain thinking it was just because of a simple cramp or muscle pain that can be easily healed with enough rest and proper massage. The thing is that may it be a slight or severe pain, every person should be cautious of how important foot pain relief is, why they shouldn’t just bear the pain and why it is necessary to have it cured right away.

Foot pain or any pain for that matter, should not just be tolerated no matter how light or severe the pain is. The first thing you need to find out is where the pain actually started. Determine if it’s from an ingrown toe nail, on the heel or maybe the ankle. Does the pain really start on your feet; or maybe it started from the lower leg extending the pain through to the foot area? These factors will help you a lot when the doctor ask these things of you later on.

Next, you need to discover what is causing the pain. Do you have a wound or skin rash that causes severe pain on certain part of your foot? Have you done an extensive workout during the day that has caused maybe swollen muscles on your feet? Or, have you worn high heels all day making your feet ache badly? Knowing the possible causes of foot pain would help you a lot on how to get it cured as well.

If you can obviously tell how the pain started, the better, but there are other options you can do. Some foot pain may just happen without any clear cause at all. In this instance, it would be best to go to a doctor to have your foot examined. Some illnesses such as diabetes and arthritis can also facilitate severe or chronic pain and should be given immediate medication and treatment as needed.

Those who wear ill-fitting shoes or maybe high-heels for a long period of time are the ones who usually suffer from frequent foot pain. Those who are doing extensive footwork just like athletes are also prone to experiencing foot pain because of unanticipated movement causing joint pains or strained muscles. Some causes of foot pain can easily be determined and be cured with foot massage, pain reliever and maybe hot compresses. Other causes of pain can be because of birth defects such as biomechanical misalignment causing difficulty in walking and standing which eventually results in foot pain.

The important thing that every foot pain sufferer should keep in mind is that they should never let their bodies live with pain. Even if they tend to act and live normally while trying to bear the pain, the fact is that there are so many foot pain relief to help them alleviate or even totally take away the pain. This definitely means that they can live a normal life and enjoy their day to day activities without feeling any pain on any part of their bodies. You just have to determine where, how and when the pain started and have it cured as early as possible.

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Bring Pain Relief for Gout Safely and Side Effect-Free

Wednesday, January 13th, 2010

Any medical expert can tell you what medication to take for your gout. But many people would rather seek natural cures for gout. One of the most well-known cures is eating cherries, which is said to regulate the effects of gout and even get rid of them permanently, if you eat them on a regular basis. Some people choose to drink cherry juice concentrate instead, which is just as effective since it has the same essential vitamins found in its fruit equivalent.

A charcoal poultice is a natural gout cure used in some parts of the world where cherries aren’t as abundant. Charcoal is known as a great remedy for gout and, in poultice form, is especially effective in ridding the body of uric acid toxins. You can easily prepare one by mixing a half cup of powdered charcoal and some spoonfuls of warm water in a blender. Just make sure you add enough water.

Some make a paste with the poultice instead. They rub it on the joint and cover it with a warm cloth, leaving it to sit during the night. If you decide to do this, treat the charcoal with care and make sure it doesn’t stain your clothes.

Others use a charcoal bath as one of their natural cures for gout. It’s simple to make: just pour half a cup of powdered charcoal in a bath tub with warm water, and then soak your joint inside for an hour.

Deciding what to eat is also essential to your fight against gout. Milk and other dairy products, vegetables, and fruits can guard your body, and lots of water consumption helps prevent gout attacks when it washes out body toxins through the kidneys. And certain foods like organ meats and meat extracts, some fish and wild game, and sweetbreads have a high purine amount which can lead to painful uric acid crystals forming in the joints.

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How Does Tramadol Suppress Pain?

Monday, January 11th, 2010

Tramadol is an innovative and atypical analgesic. It is a centrally effective drug which is used for treating moderate to acute pain. Tramadol is a synthetic agent, 4-phenyl-piperidine analogue of codeine. It has actions on the GABAergic, noradrenergic and serotonergic systems. This drug was made by a German pharmaceutical company and was marketed under the name of Tramal. Later on this drug was licensed to many other companies across the world who markets it under various names. This drug is generally sold or marketed under the name hydrochloride salt or tramadol hydrochloride. Tramadol is available in an injection and oral medication formulations. Tramadol is not a controlled drug in most countries and can be easily bought by normal prescription.

Pain can be traumatizing at times. Burning or shooting sensations are regular pain forms but there are also neuropathic pains which can be worse and is caused due to diseases of the peripheral nervous system. Tramadol is considered to be a unique drug which kills pain but has mild opiate properties. It is generally considered that between 100gms to 400gms of Tramadol can effectively cure pain and provide immediate relief. However slight side effects may be experienced in extreme cases like nausea, sedation and dry mouth. However these side effects, if they occur, are very short lived. Once the treatment and medicine is stopped these side effects fade away too.

Tramadol works through modulation of the GABAergic, noradrenergic and serotonergic systems. It also has mild agonism of the µ-opioid receptor. Non-opioid activity contributes by showing the analgesic effects of tramadol. However this cannot be totally antagonised by the µ-opioid receptor antagonist naloxone. Tramadol has serotonergic modulating properties which mean that it has the capacity to interact with other serotonergic agents. But the risk factor increases when tramadol is taken in combination with serotonin reuptake inhibitors. It may result in serotonin syndrome. This happens because agents potentate the effect of 5-HT in addition to inhibiting tramadol metabolism. These antagonist effects make Tramadol a potential applicant for people in neuropathic pain states.

What all of that means is that Tramadol is basically a pain reliever. It works by simply affecting the chemicals and receptors in the body which are associated with pain. Therefore the pain in the body is reduced. It can treat moderate to moderately severe pain.

Tramadol can also be used for other purposes, since tramadol has nonopioid analgesic it can be used for recreational purposes also. Through agonism of appropiate receptors Tramadol produce affects similar opioids. The effect is not nearly as intense because it has much lower affinity for the receptor.

Tramadol can be taken in several doses as prescribed by the doctor. The number of doses are given according to the pain. It is advisable not to drive after taking this medicine as slight dizziness or drowsiness may be caused due to intake of the drug. Alcohol should be avoided while taking tramadol as it can cause a dangerous decrease in breathing and may lead to liver problems also.

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Legalize Medical Marijuana For Pain Relief in Wisconsin

Wednesday, January 6th, 2010

It is time to legalize marijuana (also called marihuana, ganja or cannabis) for medical purposes. As one who is recovering from several surgeries, and the accompanying pain that goes with them, marijuana should be available for pain relief under doctor’s supervision.

For years, doctors were stingy with the amount of pain medication given in the hospital and later at home. That seems to be changing, in recent years, painkillers are much more liberally administered to those who need them. Good pain management is proven to speed up the healing process.

Although I am not a marijuana user, I’ve read reports that people with certain types of cancers and other types of debilitating diseases find pain and anti-nausea relief when smoking marijuana. If we could devise a low cost way to deliver it to appropriate patients through prescription from a doctor, and purchased from a legal outlet, like a pharmacy, I am all in favor of it. Users would have to obey the existing traffic laws and would not be able to resell it to family and friends.

Many of the current drugs we take come from plants. In this case, you would get the relief directly from the plant itself, rather than in pill or liquid form.

If you agree with this point of view, contact your Wisconsin legislator. They are currently discussing this issue.

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Hip-Replacement Surgery Not Only Option

Monday, January 4th, 2010

Sometimes people with hip pain from osteoarthritis go to orthopedic surgeons without first having tried more conservative measures for pain relief.

However, research shows that people with hip pain who try conservative measures first have an 87 percent success rate in decreasing their hip pain and postponing or avoiding hip-replacement surgery.

If I have hip pain, at what point should I see a physical therapist?

If you have hip pain for more than three to four weeks, you should see a physical therapist no matter what your age. You may be experiencing femoro- acetabular impingement, which occurs when the neck of the femur (the long bone in the top of the leg) rubs up against the pelvic bone.

This is a condition we’ve seen in people as young as 16 years old and is now recognized as an underlying reason for the development of osteoarthritis later on in life.

If the source of pain is diagnosed early and the impingement is treated, you can prevent the onset of osteoarthritis.

How does a physical therapist treat this condition?

Femoro-acetabular impingement is treated successfully with activity modification and patient education.

Your physical therapist will teach you how to strengthen specific muscles and stretch specific tissue in order to address this problem.

What if I have chronic hip pain?

Physical therapy can have a significant impact on pain relief and can help improve the function of a person with chronic hip pain. We use manual therapy and therapeutic exercise with great success.

We can help patients strengthen surrounding musculature and will recommend physical exercise involving high repetition and low-impact activities such as biking, swimming, working on a cross-trainer or walking.

If weight control is a factor in your joint pain, your physical therapist can recommend appropriate weight-loss measures.

What is manual therapy?

Manual therapy is hands-on treatment in which the physical therapist mobilizes and/or manipulates the involved joints and the tissues surrounding the joint through soft tissue mobilization, massage and passive stretching.

When should I consider hip-replacement surgery?

Joint replacement surgery should be considered when physical therapy is no longer effective and the pain is interfering with daily activities.

After joint replacement surgery, physical therapy is highly recommended to help you increase your range of motion and strength. Your physical therapist also will help you achieve a normal gait to avoid limping. With physical therapy following surgery you will regain functional status more quickly and fully and be able to return to your occupation and your favorite recreational activities. Not all hip replacement patients see a physical therapist right away. Often the result of waiting is that problems develop that are difficult to address and the outcome is not satisfactory.

There is substantial evidence to show that conservative therapy for hip pain can be very effective. If you are suffering from hip pain, consider seeing your physical therapist sooner rather than later.

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