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Archive for the ‘Diseases And Conditions’ Category

February 25th, 2009 No comments
Ray Attebery asked:

Is this you? Experiencing severe pain all over your body. You feel exhausted all of the time. You have gone through numerous tests and your doctor cannot find anything wrong with you. If you can relate to these statements, you may have a condition called Fibromyalgia. And, if this is so, you are probably on the look out for Fibromyalgia pain treatment for severe pain.

You are not alone. Over ten million people in the United States alone have reported symptoms of Fibromyalgia. So, if you are one of the many sufferers of this painful condition, it is important to know that Fibromyalgia pain treatment for severe pain does exist. And, if you suffer from Fibromyalgia pain, your doctor or better yet a pain specialist can prescribe treatment for any level of pain including severe pain.

Medication as Fibromyalgia Pain Treatment for Severe Pain

Generally you will need to undergo a physical examination to determine if you qualify as a Fibromyalgia patient with positive findings of 11 of 18 tender points based on a digital examination. However as a second opinion, Dr. R. Paul St. Amand, M.D. Assistant Clinical Professor of Medicine Harbor, at UCLA states that this useful concept is artificial. He further states: “We easily find more widely distributed areas of swelling, spasm, and tenderness scattered all over the body.”

Most doctors will prescribe some type and level of pain medication for Fibromyalgia pain treatment. Some of these medications include:

· Muscle Relaxants. Medication, such as Flexeril, taken at bedtime has been proven to be a successful Fibromyalgia pain treatment for severe pain. This kind of medication treats muscle pain and spasms.

· Antidepressants. Doctors may prescribe antidepressant medications, like Prozac or Paxil, as Fibromyalgia pain treatment for severe pain, as well. These medications for example have been effective at helping sufferers sleep through the night and rest is a key ingredient if you are diagnosed as Fibromyalgia pain.

· Anti-epileptics. Typically, anti-epileptics are prescribed to treat epilepsy, however, these drugs have proven effective as Fibromyalgia pain treatment for severe pain conditions.

Treatment for relief of pain can extend to (Tylenol, Advil, Darvocet-N); antidepressants; injection of local anesthetic with or without steroids into the tender points and trigger points; exercise stretch and intermittent cold therapy. Dr. St. Amand also recommends the use of Guaifenesin, which is available in a 600 mg. tablets, and reducing intake of aspirin and reduce the use of all salicylic acid products to zero.

One of the best non-drug products on the market is Tramaden, taken orally, this is a clinically proven pain medication that can be used to provide speedy relief to aching, painful joints and muscles associated with severe Fibromyalgia pain. Tramaden contains FDA complaint non-prescriptive ingredients including the highly powerful Celadrin and Bromelain for faster pain relief when reducing inflammation of muscle and tissue.

Topical Treatments for Fibromyalgia pain relief

A number of topical, non-oral, non-narcotic pain relief creams have proven very effective for the relief of Fibromyalgia. Menastil is one product originally produced for the topical treatment of Endometriosis and severe Menstrual cramps that has proven effective for Fibromyalgia pain due to Calendula Oil, which penetrates the epidermal and delivers it’s pain relief ingredients to the source of pain. The other is CorProfen, which once again has a penetrating agent to deliver its pain relief agent to your source of Fibromyalgia pain.

For more information about Fibromyalgia pain treatment for severe pain, check out The Fibromyalgia Network’s website. This site can help answer many of your questions concerning Fibromyalgia pain treatment for severe pain.

Visit the web sites below for Fibromyalgia non-drug products and information.

TASIA

February 24th, 2009 No comments
Terry OBrien asked:

The sad fact is that nearly everyone will experience pain at some time in his or her life. Unfortunately however for some people pain becomes an everyday experience.

Here in the UK studies have shown that about 20% of the population suffers from chronic pain (pain lasting for more than three months). Nearly 15% of the population suffers from chronic pain severe enough to prevent them from living a normal life.

Studies have also shown that many people do not have their pain managed effectively.

Lets be honest Pain is an unpleasant experience.

It involves sensory nerves that detect pain and the central nervous system (brain and spinal cord) that alters the final experience of pain. Pain is also influenced by our emotional state.

The simplest form of pain to understand is acute pain, for example that which occurs if you cut yourself. This pain acts as a warning signal so that you protect the injured area. The pain originates from pain-sensing nerves at the site of injury and usually gets better quickly.

Pain doesn’t always get better and may become chronic. Chronic pain is more difficult to control than acute pain and frequently requires specialist assessment and treatment. Sometimes pain becomes a disease in itself, rather than just a symptom of a disease.

This is confusing both to the person with pain and their treating health professionals, sometimes resulting in unnecessary investigation and even surgery.

Another form of pain that is difficult to treat is neuropathic pain (pronounced new-row-pathick). Neuropathic pain results from abnormal function in, or injury to, the nervous system, for example pain following amputation (phantom limb pain) or sciatica.

Neuropathic pain is sometimes difficult to diagnose, and the treatment of neuropathic pain requires specialist knowledge.

Being in pain is a stressful experience and can have an impact on many areas of your life activity levels, work, social life, relationships and psychological well-being.

People often feel they are no longer in control of their life. Other people may have suggested that the pain is not real or is ‘in your head’ At Back Trouble UK we know that your pain is real and we are here to help.

Terry O’Brien

Back Trouble UK

www.backtrouble.co.uk

SHANNON

February 11th, 2009 No comments
Hemant Yagnick, M.D. asked:

Acute back pain may begin suddenly and usually lasts around 3 months. Chronic back pain sometimes lasts throughout life.

The most common back pain is low back pain (LBP). It is is often described as sudden, sharp, persistent, or dull pain felt below the waist. LBP is very common and affects the majority of people at some point during their life. Up to 70%–85% of all people have back pain at some time in their lives. LBP is the most common cause of a limitation of activity in people younger than 45 years of age. It is the second most frequent reason for visits to a physician, and the third most common indication for surgery. It is the fifth-ranking cause of hospital admissions and is one of the leading causes of disability.

Low back pain is most commonly caused by muscle strain associated with heavy physical work, lifting or forceful movement, bending or twisting, awkward positions, or standing in one position too long. Any of these movements can exacerbate a prior or existing back disorder. Other conditions that can cause low back pain include spinal stenosis, arthritis (osteoarthritis), spinal infection (osteomyelitis), spinal tumors (benign and malignant), spondylolisthesis, and vertebral fractures (e.g. burst fracture).

Low back pain is either acute or chronic. Acute LBP may begin suddenly with intense pain usually lasting fewer than three months. Chronic pain is persistent long-term pain, sometimes lasting throughout life. Even chronic pain may present episodes of acute pain. Other symptoms include localized pain in a specific area of the low back, general aching, and/or pain that radiates into the low back, general aching, and/or pain that radiates into the low back, buttocks and leg(s). Sometimes pain is accompanied by neurological symptoms such as numbness, tingling, or weakness. Neurological symptoms requiring immediate medical attention include bowel or bladder dysfunction, groin or leg weakness or numbness, severe symptoms that do not subside after a few days, or pain prohibiting everyday activities.

Pain felt in the low back is not always indicative of a spinal problem. A thorough physical and neurological assessment may reveal the cause of the low back pain. The physical examination begins with the patient’s current condition and medical history. Examination of a patient with low back pain involves examining the patient’s range of spinal motion while standing straight, bending forward, and to the side. Asymmetry, posture, and leg length is noted. Methodical palpation of the spine can reveal muscle spasm, possible bony displacement, and tender points. Abdominal palpation is performed to determine if the cause of low back pain is possibly organ related (e.g. pancreas). The neurological assessment evaluates weakness, absence of reflexes, tingling, burning, pain, diminished function, and other signs that may indicate nerve involvement.

If infection, malignancy, fracture, or other risk factors are suspected, routine lab tests may be ordered. These tests may include complete blood count (CBC), erythrocyte sedimentation (ESR), and urinalysis. In some cases electrodiagnostic studies such as electromyography (EMG) or nerve condition velocity (NCV) are performed to confirm a diagnosis or localize the site of nerve injury. Plain radiographs (x-rays), CT Scan, and/or MRI studies are performed when fracture or neurological dysfunction is suspected. A MRI represents the gold standard in imaging today. A MRI renders high-resolution images of spinal tissues such as the spinal cord and intervertebral discs. X-rays are still the imaging methods of choice to study the bony elements in the low back. The results of the physical and neurological examinations combines with test results are carefully evaluated to confirm a diagnosis.

Most patients with low back pain are treated without surgery. A conventional treatment plan may include bed rest for a day or two combines with medication to reduce inflammation and pain. Medications recommended by the physician are based on the patient’s medical condition, age, other drugs the patient currently takes, and safety. The first choice for pain relief is often nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs should be taken with food to prevent stomach upset and stomach bleeding. Muscle relaxants may provide relief from muscle spasm but are actually benign sedatives, which often cause drowsiness. Narcotic pain relievers are prescribed for use during the acute phase and often for chronic pain management in appropriate patients.

Other modalities to treat low back pain might include physical therapy (PT), transcutaneous electrical nerve stimulator (TENS) trial, ultrasound therapy, acupuncture and massage therapy. A managed PT program can help build muscle strength and flexibility, improve mobility, coordination, stability and balance, and promote relaxation. Patients who participate in a structured physical therapy program often progress to wellness more rapidly than those who do not. This includes low back maintenance through a home exercise program developed for the patient by the physical therapist.

Although the number of spinal surgeries done every year is on the rise, it is rarely required to treat low back pain. Surgery may be considered if the patient is experiencing bowel or bladder dysfunction, increased nerve impairment, progressive weakness, incapacitating pain, or spinal instability. The surgical procedure depends on the diagnosis or the cause of low back pain. To prevent low back pain, first and foremost, follow the treatment plan outlined by the physician. To enhance recovery from an episode of low back pain, or to help prevent future exacerbation, try to maintain good posture, be consistent in a home exercise program, and eat sensibly to maintain proper body weight.

About Walton Rehabilitation Health System:

Walton Rehabilitation Health Systems (WRHS) is a leading not-for-profit comprehensive, multi-specialty, dedicated provider of physical medicine and rehabilitation. Our mission is to be an advocate for wellness by providing a continuum of services to treat the whole person. WRHS, whose reputation extends throughout the south, is a trusted partner with just the right expertise and treatments to help people with disabling injuries and illnesses return to work and to a fulfilling life. By pursuing its mission, WRHS has grown to include Walton Pain and Headache Centers, Walton Community Services, Walton Options for Independent Living, Walton Foundation for Independence, and Walton Technologies. We are located at: 1355 Independence Drive, Augusta, GA 30901-1037. For more information visit www.wrh.org or call 866-4-WALTON.

ELENA

February 10th, 2009 No comments
herbalremedies asked:

More people call out sick from work because of chronic pain than call out sick because of the common cold. Chances are you or someone you know suffers from chronic pain. Pain is a necessary part of life. It alerts us when something is wrong with our bodies. It’s normal to experience pain with an illness or injury. Normally, this pain fades as the injury heals or the sickness goes away. This is referred to as acute pain.

Pain becomes chronic when it continues after the healing time of the injury. This pain can hang on for months or even years and often causes depression in its sufferers. Chronic pain can also occur as the result of an ongoing condition, like fibromyalgia, arthritis, or cancer. Back injuries, carpal tunnel syndrome, and migraine headaches are some other examples of conditions that cause chronic pain. Some pain can result from injury to the nerves causing them send false signals to the brain. How massage affects your pain is partly dependent on its source.

If your pain is caused by a muscle injury massage can not only help ease the pain but also help speed the healing process. Acute or chronic – these are the two words that describe pain. Acute goes away easily and rarely lasts long. Chronic is its exact opposite. Chronic pain can last for six months and is expected to recur at anytime. The main cause of it is very hard to pinpoint. And it doesn’t help if doctors were more interested in addressing the pains rather than knowing what is actually causing it. As such, chronic pain relief can be elusive to patients.

But then again, there are certain medicines and therapies that are deemed effective for chronic pain. There are also a lot of medicines sold over-the-counter, which can truly help. While chronic pain is a major problem, patients do have options to treat it. Doctors normally prescribe medicines, antidepressants, and anticonvulsants, to address chronic pain. Chronic pain relief is also possible with physical therapy. Physical therapy corresponds to the low-impact exercises like swimming, walking, and stretching. If done regularly, these simple exercises can help your body a lot. It can help lower the intensity of the pain you’re going through.

However, these exercises are best performed along a trained physical therapist. Both occupational and behavioral therapies could also help. In occupational therapy, patients are thought how to pace and condition themselves when doing everyday tasks. Don’t get discouraged if you are one of the chronic pain sufferers for which a cause cannot be found. An unknown source doesn’t make the pain any less real. Fibromyalgia, for example, causes widespread pain in muscles and joints.

Yet, a person with fibromyalgia may not know the cause of the pain A healthcare provider may be able to link fibromyalgia to an injury or virus; but in other cases, a specific cause may go unidentified. Irritable bowel syndrome is another example of chronic pain for which the specific cause may not be known. Chronic pain may be related to changes in your nerve signals after a healed injury. Chronic pain may also be related to heightened pain sensitivity when your body produces lower than normal levels of painkilling endorphins. If you suffer from chronic pain do not ignore the warning signals. If you try to tough it out, the disease, illness, or injury may get worse. Left untreated, chronic pain can also mentally wear you down. Making massage therapy part of your treatment routine could help ease your pain and lessen your dependence on pain killing drugs. In the long run this will lead to less drug side effects and better health.

IRA

February 4th, 2009 No comments
Ray Attebery asked:

Painful shoulder conditions that limit movement are common, and are caused by problems with the shoulder joint and its surrounding structures. Your shoulder is more prone to injuries than other joints because of its wide range of movement.

About 13.7 million people went to the doctor’s office in 2003 for a shoulder problem, including 3.7 million visits for shoulder and upper arm sprains and strains. (Source: National Center for Health Statistics; Centers for Disease Control and Prevention 2003 National Ambulatory Medical Care Survey.)

One of the best ways to avoid injury is to keep physically fit, with a balanced program of aerobic exercise, stretching and strengthening exercises for your whole body. There is a range of exercise programs available from local fitness centers, to online services and even downloads for your MP3 or iPod players.

There are several reasons that cause pain and limit movement of your shoulder joint, including:

1. Rotator cuff disorders

Inflammation can be caused by general wear and tear that occurs with age, activities that require constant or repetitive shoulder motion (especially above shoulder level), heavy lifting, trauma, or poor posture. Serious injuries and untreated inflammation of the tendons can cause the rotator cuff to tear.

The pain associated with rotator cuff problems is normally felt at the front or on the outside of your shoulder, particularly when you raise your arm or lift something above your head. You may also notice the pain more when lying in bed. Severe injuries can cause weakness of the shoulder muscles, restricted shoulder movement and continuous pain.

2. Rotator cuff tears

It is usually the rotator cuff tendons (the thick bands of tissue that connect the muscles to the bones) that tear, but sometimes the tear occurs in the muscle. Severe injuries can cause several of the tendons and muscles to tear. There are special movement tests that your doctor can use to help determine which of the muscles or tendons has been torn.

3. Frozen shoulder

Frozen shoulder, is characterized by progressive pain and stiffness in the shoulder. The pain is felt deep in the shoulder joint and may become worse at night due to inactivity.

The exact cause of this condition is not known, but it sometimes develops following other shoulder injuries. Resting a painful, injured shoulder for too long can cause the shoulder muscles and connective structures to stiffen up, so when a shoulder injury occurs make an effort to keep it loose without putting to much strain on it.

Frozen shoulder can develop spontaneously, particularly if you have thyroid problems or diabetes seem to be at increased risk. Most people with frozen shoulder tend to improve within 2 years, with or without treatment. In the interim, however it can be quite painful.

4. Dislocated shoulder and shoulder instability

A dislocated shoulder is visibly deformed or out of place, and there may be swelling or bruising around the joint. Your shoulder movement will be severely restricted. Your Doctor can usually put the shoulder bone back into place using gentle maneuvers.

If you suffer a dislocation, keep in mind that the shoulder joint sometimes becomes unstable and susceptible to repeated dislocations. This causes pain and unsteadiness when you raise your arm or move it away from your body. Your shoulder may feel as if it is slipping out of place when you lift your arm over your head.

5. Arthritis

Arthritis causes progressive joint pain, tenderness, swelling and stiffness. Both rheumatoid arthritis and osteoarthritis will affect the shoulder joint.

Sometimes shoulder pain can be due to problems in your neck or a mixture of several different problems. A visit to your doctor is almost always necessary when it comes to a shoulder problem because in rare instances, shoulder pain may be caused by infection, problems with the nerves, or a tumor located somewhere else in your body.

As with any medical issue, a shoulder problem is generally diagnosed using a three-part process:

• Medical History – You tell your doctor about any injury or other condition that might be causing the pain.

• Physical Examination – Your doctor examines you by feeling for injury and to discover the limits of movement, location of pain, and extent of joint instability.

• Tests – Your doctor may order one or more of the tests for you listed below to make a specific diagnosis.

What tests are needed to determine the cause of your shoulder pain?

Your doctor will determine the cause of your pain based on your symptoms and a physical examination. Where the pain is felt, both at rest and when moving the shoulder, is a clue to the cause of the shoulder pain. Your doctor will also test your shoulder strength and the range of movement in your shoulder joint.

You may need an X-ray, or other scans, such as an ultrasound scan or MRI. Sometimes, an arthroscopy is needed. In this test, your doctor can look inside the shoulder joint using a small telescopic instrument that has a camera on the end. This is not as painful as it sounds.

How your shoulder pain will be treated

In addition to relieving pain, treatment is aimed at restoring mobility in your shoulder joint. The choice of treatment depends on the extent of your shoulder problem and the level of pain.

Pain relievers such as non-steroidal anti-inflammatory drugs (NSAIDs) are often used as an initial treatment for shoulder pain. Ibuprofen is the best and Aspirin should be avoided.

Another simple way of easing shoulder pain is by applying a cold pack to your shoulder for 10 minutes at a time three or four times a day. Cold packs will reduce inflammation, and are most helpful when applied for the first few days following a shoulder injury. After that, you can switch to using a heat pack; intermittent applications of heat can help relax the shoulder muscles.

A heat pad used at night when sleeping will keep the shoulder from stiffing up.

You should rest your shoulder for a couple of days after an injury, and if you have dislocated your shoulder, you may need to rest your arm in a sling or splint for several weeks after the joint has been manipulated back into place.

However, with most shoulder problems it isn’t a good idea to rest for too long. While you should avoid strenuous activities and lifting heavy objects, you should still move your shoulder to help make sure that you regain full use of the joint. By returning to your normal activities as soon as possible (within the limits of disability and pain), you can help prevent the shoulder joint from stiffening up.

Physiotherapy can help treat you shoulder pain.

Physiotherapy can help improve your shoulder strength and flexibility as well as relieve the pain associated with most shoulder problems. Physiotherapists use a variety of different therapies, including massage, ultrasound therapy, laser therapy and electrical nerve stimulation (TENS) — a therapy that uses mild electrical currents to treat pain.

Taping the shoulder joint can also help stabilize it and reduce pain during activities. Your doctor will refer you to a good Physiotherapist is he feels the extent of your injury warrants Physiotherapy.

Physiotherapists can also teach you special rehabilitation exercises to stretch and strengthen the rotator cuff muscles of the shoulder. Exercises that improve your shoulder’s range of movement help reduce the pain and stiffness that occurs after a period of immobility. Range of motion exercises may be followed by resistance exercises and weight training to strengthen the muscles.

Steroid injections can be effective but proceed with caution.

Depending on the cause of your shoulder problem, corticosteroid injecti
ons may be given to relieve the pain in the short term. The corticosteroid, which is often mixed with a local anesthetic, reduces inflammation and allows you to move the shoulder more comfortably. Make sure you understand what is involved in this kind of treatment to include the long term effect on your body. The jury is still out on the impact of this type of treatment.

Surgery may be necessary to treat your shoulder problem.

Because most people improve with the above treatments, only about 10 per cent of people with shoulder problems will need to be treated with surgery. People with shoulder instability or rotator cuff problems that are not responding to less invasive treatments may benefit from an operation, and shoulder joint replacement may be considered for people with degenerative arthritis.

There are also some conditions that need to be treated initially with an operation, including some rotator cuff tears and dislocated shoulders that cannot be reduced (put back in) with simple manual maneuvers. Sometimes frozen shoulder is treated with what’s known as manipulation under anesthesia. In this therapy, your shoulder is gently moved while you are under a general anesthetic to help improve its range of motion and of course avoid the treatment pain.

So make sure you do not self-diagnosis your shoulder problem, see your doctor. Keep in mind that it isn’t a good idea to rest it for too long or it will stiffen up. Use Cold and Heat intermittingly to speed up the healing process. Avoid strenuous activities and lifting heavy objects, but remember to move your shoulder to help make sure that you regain full use of the joint by returning to your normal activities as soon as possible and you will regain full use of your shoulder in a reasonable period of time.

But, if you are still experiencing pain, listen to it, it is a signal trying to tell you something is still wrong with your shoulder.

SHAVON

January 29th, 2009 No comments
Juliet Cohen asked:

Pain Disorder is a somatoform disorder in which the predominant area of focus is painful bodily complaints in which psychological factors are determined to be central to the onset, severity, exacerbation or maintenance of the complaint. Pain disorders are classified into several categories based upon their cause. Neuropathic pain is a particularly severe pain disorder that results from damage to the central and peripheral nervous system. Ion channels play an important role in the detection, transmission and cognitive recognition of pain signals. Ion channels are critical at each step in the pain pathway, including the detection of local stimuli, the transmission of the electrical impulses to the brain and the interpretation of electrical impulses as pain signals. Pain Disorder (like conversion disorder) is a form of somatoform disorder. Pain Disorder does not mean that the person has no biological reason for pain. It suggests that there are psychological factors that appear to have contributed to the onset, severity, maintenance or exacerbation of the pain. In pain disorder, it is important that the patient be assisted in determining what factors play a role in the experience of the pain.

Pain disorder may come after surgery, hospitalization, or injury; when the wound heals, the pain doesn’t go away. It sometimes comes in conjunction with an addiction as well, and may be a symptom of hypochondrism or another depressive disorder. Pain disorder is marked by the presence of severe pain. Pain disorder is relatively common in the general population especially amongolder adults; the sex ratio is more nearly equal. It appears to affect men and women with equalfrequency. Inflammatory pain results from the effects of inflammatory mediators and cellular debris that are released into surrounding tissues as the immune system is activated, whether appropriately to fight infection, or inappropriately, such as in auto-immune disorders, including rheumatoid arthritis. Patients with body dysmorphic disorder often try to have plasticsurgery or other procedures to repair or treat the supposed defect. Both neuropathic pain and inflammatory pain are types of chronic pain. Because of the many different reasons pain disorder manifests, it may or may not be successfully treatable. If it comes in conjunction with another mental illness, it should be treatable and the patient should recover fully.

Symptoms of Pain Disorders:

1. Lightheadedness or dizziness.

2. Skipping heartbeat.

3. Chest pain.

4. Excessive sweating

5. Nausea or stomach problems.

6. Feelings of unreality.

Treatment of Pain Disorders:

Surgical complications and addictions to prescription pain medications can develop if used inappropriately to treat this condition. Psychiatric referrals may be helpful, though many people with this disorder resist psychiatric interventions. Pain Disorder associated with a General Medical Condition may be treated with a course of general pain killers. This term is used for any patient who has pain that is mainly caused, worsened or maintained by a general medical condition, so long as any psychological factors play at most a minor role. Prescription and non-prescription pain medications are usually not effective and can make matters worse due to potentially serious side effects.

RAINA