How Do I Treat Gout?

Gout is probably the most painful arthritis condition, which is recognised as a chronic disease, gout is a metabolic disorder.

Gout symptoms include pain and swelling and can come on without any warning. Gout attacks frequently start at night.

References to gout go back thousands of years and have normally been labeled as a result of over indulgence, due mainly to the close connection with the wealthy and their rich diet. We now know that gout can attack anyone, regardless of diet.

Gout is characterised by sudden, burning pain and swelling and is more common in men than in women. Gout often attacks the big toe.

Gout tends to be more severe in people who experience symptoms before the age of 30. Gout sufferers who also have diabetes or kidney problems may find their gout attacks to be far more frequent.

Gout is a chronic condition caused by an uncontrolled metabolic disorder, hyperuricemia, which leads to the deposition of mono sodium urate (uric acid) crystals in tissue around the joint. Hyperuricemia means too much uric acid in the blood. Uric acid is the by product of purine nucleotide catabolism .

Studies indicate that almost 1% of the adult population may experience symptoms of gout at some time in their lives. Frequent attacks of gout, left untreated can lead to joint deformity and in some cases damage to other organs.

Is there a cure for gout?

The secret to curing any form of arthritis is to tackle the underlying contributing factors and not the symptoms. If one can treat the underlying issues successfully, gout will disappear.

Why risk using harmful drug therapies, when gout may indeed be successfully treated using a combination of simple lifestyle changes. Simple changes to diet will defiantly help, in fact, Using a couple of everyday items you may already have in your kitchen can successfully remove uric acid crystal deposits from one’s joints when taken in the right combination. One can successfully treat one’s own gout, if they find the right alternative approach, even if gout has been passed down through a family gene.

Start your new natural treatment today.

Cause of Diabetes Mellitus – What Causes Diabetes?

There is ample research supporting the fact that somebody with a history of diabetes in the family has a 33% higher chance of developing diabetes than a person with no such history. We may not understand all the causes for diabetes, however it is widely known among the scientific community that diabetes is a genetic condition.

While it is true that heredity plays an important role in determining whether you are at risk for diabetes, it may be true that learning the causes of diabetes mellitus and taking steps to control its onset can mean that you can be in control of your life and have the ability to live a healthy, long life.

Often described by medical experts as the "prosperity" disease, diabetes is frequently caused when people overeat methodically, particularly if they consume great amounts of processed foods, proteins, and fats. Processed foods, such as bread, cake, chocolate, and ice cream, are rich in refined carbohydrates and are dangerous to the body when eaten in great quantity over a long period of time. Proteins and fats are as well major contributors because the body transforms them into sugar.

Scientific studies show that up to 85% of people having diabetes are obese. Nearly 80% of type-two non-insulin dependent diabetics, in the United States alone, are overweight. When excessive fatty tissue is present in the body, insulin 'll not work effectively. Normally, insulin allows blood sugar to enter the tissue and muscle cells by using receptor sites located on cell surfaces. If too much fat is present, the cells become insulin resistant, thereby leading to diabetes.

In the aging procedure, people have a tendency to put on extra weight and some end up developing mild diabetes due to increased blood sugar. If they choose to modify their diet and lose weight, their diabetes condition will improve greatly.

One of the well-documented contributory causes of diabetes mellitus is too much stress in your life. An individual who is suffering from too much anxiety and stress should search out ways to relieve some of the burden and learn to relax so as to cut back their danger of developing diabetes. When you're continually stressed out, this can have a negative impact on your metabolism and guide to sugar in the urine.

A person who strives to be physically active can greatly cut back the chances of developing diabetes later in life. Maintaining a regimen of moderate exercise not only helps in controlling your weight though will greatly improve your wellbeing and sense of health. A healthy person's body functions better and can procedure blood sugar more effectively as insulin production stabilizes. The stress on your pancreas' ll decrease and it will not wish to work as troublesome, making you healthier for the long term.

Keratosis Pilaris Or the "Chicken Skin" Disease

Excess Keratin

This disease gets its name from the term "keratin", which is the natural protein present in the skin. The condition is caused when the excess keratin, which is cream coloured, traps the hair in the follicles. As a result, the keratin forms small but hard plugs in the pore, a phenomenon called hyperkeratinization.

Just like acne, keratosis pilaris targets mainly adolescents but it can persist into adulthood. In fact, about 50 to 80 per cent of adolescents are afflicted by it, whereas only 40 per cent of adults manifest some degree of the disease. This is one disease with a strong hereditary connection and is often seen in twins.

Rough But No Itch

Unlike acne, keratosis pilaris is not itchy. The bumps are very small and they give the skin a rough, sandpaper-like feel. The areas affected look red and patchy as there can be as many as 100 bumps concentrated in a very small area of ​​the skin.

There is no known cure for keratosis pilaris. It is chronic, non-contagious but in some cases, does decrease in severity with age. The lucky few may see the typical sandpaper rash on the backs of their arms clear up after puberty but they are in a minority.

Climate Affects Flare-ups

Fortunately, it is a mild disease and does not produce an itch. Seasonal variations have also been observed, with flare-ups common in the winter months when the skin tends to dry.

There is no known cure for keratosis pilaris but there are topical treatments and oral medications that can ease the rash. Creams containing tretonin seem to help. Also used in the treatment of acne, this active ingredient, which is an acid form of Vitamin A, makes the outer layer of the skin grow more rapidly and decreases the amount of keratin in the skin.

Thinning the Skin

The outer layer of the skin is thinner than usual and this reduces the chances of the pores getting blocked.

Another option is to use cream that contains triamcinolone. This is a synthetic cortico-steroid used in the treatment of eczema. It reduces the amount of keratin in the pores and with that, the typical keratosis pilaris rash.

Proper Breathing for Posture Correction pt1

Posture correction and breathing for balance is a serious part to being on this world for all life. Our muscles, brain chemistry, hormones, joint alignment, physical body, emotions and spirit all need a certain balance for top-quality function. Regrettably, as we boldly enter the new millennium, balance in these arenas eludes many of us. Thus, rather than darting upright into the next thousand years efficiently contending with gravity, numerous are failing this all-important conflict with great repercussions to the body, mind and soul.Interpret this statement by Basmajian: “The importance of good posture to the body as a whole is summed up well by saying, ‘Maximal health and good posture are reciprocally related – that is, one depends upon the other.'”
What is good posture? What affects it and, in turn, what does it involve? In this article, I will look at a lot of the factors affecting or being involved by posture including:
Breathing
Eyesight
Limbic System (emotions)
Pain, Muscle Balance and Joint alignment
Balance and Aesthetics
Breathing
Breathing is one of the most influential topics to look at when considering, or seeking to correct, an individual’s posture. It rates first in the body’s hierarchy; it’s the tip of the totem pole, as the body will commit everything else including posture to keep up the airway. Air is life. It’s that elementary. Without it, you drop dead. You can last without food for a certain point of time and even H2O but not air.
Why is respiration so crucial to posture? The common adult breathes around 26,000 times a twenty-four hour period. If done correctly, each and every last breath can be regenerating and exhilarating. If done incorrectly, the rib cage gets precisely that, a cage locking up and limiting the normal purpose of the respiratory system. There are two alternatives when it comes to taking air into the lungs: nose and mouth.
Mankind come into this life as nose breathers. We are “obligate nose breathers,” which means we do not have the voluntary ability to breath via our mouths. Mouth breathing is a conditioned response triggered off by emergency stress. – Douillard
An baby with a stopped nose anxious for nasal air begins to suffocate and cries. The crying impels air into the lungs by way of the mouth. Mouth breathing induces large volumes of air into the lungs quickly to address the emergency. Once the nose is open, the baby reverts to nose breathing until the next menace to survival. From this early conditioning, the baby learns during the first sign of stress to alternate to the emergency pattern of mouth breathing.
Nasal form reveals a make up of turbinates – or ridges – which work as turbines purling the air into a exquisite stream most acceptable for oxygen transfer. Turbinates along with the septum and the pharyngeal wall create obstacles for air drawing through the nasal passages. It is by these obstacles that particles are took away from the air; each time air reaches one of these, it must change direction. And as the particles suspended in the air have more volume than the air, they can’t change their way as rapidly and results in the particles striking the surface of the obstacle. This mechanism for moving out particles from the air is called “turbulent precipitation,” and it is enormously effective as nearly no particles bigger than four to six microns in diameter (this is smaller than the size of red blood cells) are capable to come in the lungs via the nose. Air is prepared, warmed by the ample surfaces of the turbinates and septum, to the optimum temperature for respiration. The nasal passages’ extremely sophisticated design is perfect for respiration. The nasal passage is lined with mucus producing membranes. Mucus produced from the membranes avert infection and maintains the passageway humid. The mucus membrane and little hairs function in concert to clean, filter and prepare the air for utmost oxygenation tooccur.Mouth breathing gets around all these extraordinary filters and permits unfiltered, cold, dry air to go in the lungs. This is not the ideal way air is meant to go in the body; consequently, it is earmarked for “emergency situations” only. Mouth breathing irritates the throat, drying out the mucus membranes and raising the danger of infection.
Nasal respiration employing the diaphragm – or diaphragmatic breathing – is the most economical way of respiration. Breathing is the interchange of gas between the lungs and the atmosphere (external respiration) or the shift of gas between the body’s cells and the blood (internal respiration). Respiration occurs as the space in the thorax shifts; with this change, the pressure gradient between the lungs and the atmosphere lowers, inducing a partial vacuum. This in turn makes the lungs to expand. It is these spatial shifts mediated by muscle activity (as the diaphragm comes down, the chest expands) that lets air to flow into the lungs. A positive pressure is created as the respiratory muscles slack. The diaphragm and chest return to their original size, letting the gas in the lungs to stream into the atmosphere.

In its loosened state, the diaphragm seems dome shaped as it sits on top of the contents of the abdomen. It shortens, dropping and driving the substance of the abdomen down and increasing the space in the thorax. The diaphragm is regarded the primary muscle of inspiration.

Passive and active respiration are regarded to be different; during passive respiration, the fall of the diaphragm is largely responsible for inspiration and relaxation of it for expiration. Active respiration needs increased volume and frequency of air. The diaphragm cannot accomplish this alone; therefore, recruitment of other muscles is needed to help out. This serve comes from the external intercostal – which helps by raising the rib cage – and the abdominal and internal intercostal muscles – which deliver the rib cage to it’s normal position – as exhalation must match inhalation.
The sternocleidomastoid (SCM) and other muscles of the neck chip in by pulling the clavicle and first rib upwards. Normal nasal respiration supports optimal physiological function within various systems of the human body including the autonomic nervous system. In optimal passive and active inspiration, there is a large degree of horizontal displacement of the thorax.
In accustomed mouth breathing, however, we find that the auxiliary muscles of respiration including the SCM, scalene and omohyoid musculature become hypertonic.
These muscles bring to vertical displacement of the thorax, considered to be very ineffective for respiration.

This can also contribute to hyper-tonicity of the quadratus lumborum and other rib cage depressors as they seek to counteract the upward displacement made by the accessory breathing musculature. Postural changes are seen with customary mouth breathers including forward head posture, forward shoulders, depressed sternum and switches to the alignment of entire kinetic chain.
Poor posture can further mouth breathing. Attempt this simple experiment. Move your chair out from your computer and seat with good posture in your chair. Your ear, the head of the humerus and the head of the femur should all be in the same vertical plane if viewed from the side. Inhale and exhale several times through your nose. Notice the effort required to do this. Proceed breathing but shift to mouth breathing. You will observe mouth breathing in this posture needs considerably more effort than nose breathing. Keep mouth breathing, but shift your posture by slumping. Let your sternum depress and shoulders roll forward. Your breathing now will most likely be much readier than when you had good posture.
While still in this slumped posture, change to nose breathing. With this switch, you will see that it needs more effort to nose breath with poor posture. This elementary experiment highlights how posture can effect breathing and vise versa. Poor posture can change respiration rules – as with the depressed sternum – and gain rib inclination. It is difficult to get the horizontal displacement called for for economical nasal respiration. This leads in one of two scenarios: a switch to mouth breathing and/or over employment of the supportive muscles of respiration (chest breathing). Both of these bear upon negatively on the various systems going within the body.
Nasal respiration is viewed to aid functioning of the autonomic nervous system because it occupies the lower lobes of the lungs, inducing full use of all the lungs’ capacity for oxygen exchange. It is in these lower lobes that the bulk of the oxygen change takes place. Activating of the diaphragm is stated to make the parasympathetic nervous system, which quietens and looses the brain and the physical structure. Breathing ponders every emotional or physical movement and interference. It is also painful to the automatic procedures. Ruffles of the thyroid gland, for illustration, cause a unusual kind of breathing, which swears out to diagnose this disease. A search throughout story unwraps many schemes and formulas designed to induce a calming effect by improved breathing. As breathing can be altered by changes of position, emotional state, activity level, disease and even tight garments, numerous varieties of breathing shapes have rose. Duchenne commented that average breathing models of mid 19th century women were “of costosuperior type” because of concretion from corsets on the lower part of the chest.
In looking at at the anthropoid skeletal system, it is manufactured so that it is nearly unthinkable to form respiration right without also satisfactorily pointing the skeletal system with respect to gravity. Shaking Up breathing alone follows only to the degree that we come through indirectly in amending the arrangement of the skeletal muscles for better standing and motion. A well-balanced muscular structure is the most economic in terms of vigor consumption. Instructing individuals to breath diaphragmatically has assisted sufferers of ailments including asthma, allergies, sinusitis and depression and has had direct success with people hurting from anxiety and different panic troubles.
In extraordinary contrast, the push or flight sympathetic nervous system selection response regarded with mouth breathing varies the average chemical and hormonal proportion within the body, setting up many purposes. The shunting of air like a shot into lungs direct from the mouth comes along to trigger a survival response. Researchers have proposed that endless mouth and chest breathing can in reality stimulate a maintained struggle or flight form of arousal, frequent in states of anxiety and fearfulness. Mouth breathers frequently have inadequate digestion, as transfers in body function viewed with the fight or flight response negatively outcome digestion. In a full blown similar reaction, all resources are mobilized: heart rate and blood pressure gains, blood flowing to skeletal muscles, heart and brain step-up; the liver expels glucose; and the pupils expand. Simultaneously, natural action of the gastrointestinal tract and blood current to the skin is weakened by inhibitory effects.

The sympathetic and parasympathetic arrangements are forever going; the basal rate of activeness is cited to as “sympathetic or parasympathetic tone.” Tone permits a individual nervous system to gain or decrease activeness of a stimulated organ. Sympathetic tone holds almost all the blood vessels in the body compacted to just about half their maximal diameter. By maximising the degree of sympathetic arousal, the blood vessels can contract even further. Nevertheless, by curbing the natural tone, the vessels will distend. If it were not for sympathetic tone, the sympathetic organisation could exclusive cause vasoconstriction. There is an on-going delicate interplay between these 2 systems which, when not in symmetry, can have considerable act upon on many systems throughout the body.
Mouth breathers are frequently present with a tongue thrust swallow from out-of-the-way tongue position, resulting from mouth breathing and poor posture. During developmental years, this tongue squeeze is considered to alter normal occlusion, ensuing in various type of malocclusion. Mouth breathers ofttimes have increased vertical attributes in the face and jaw. This is qualified by the bottom third of the human face being lengthier than the other two thirds. These developmental alters will not only touch dental occlusion but also the positioning of the temporomandibular joint (TMJ) and the disk.
With the ahead head postures of mouth breathers, lower jaw retraction is a great deal watched. As the mandibula pulls, the disk moves anterior with inflaming of the synovial tissue and slashed joint lubrication, increasing the potential for damage to the disk. It is conceived that disk regeneration is practicable when occlusions are sorted out and the TMJ’s physiologic relationships have been rejuvenated. This is intriguing for people looking for dental solution for TMJ disorder as they may also benefit from posture corrections, highlighting the usefulness of a multi disciplinary approach to treatment.
Malocclusion may also burden digestion. As with the non material places regarded with malocclusion, efficient mastication may be difficult. With mouth breathing, digestive juices may also be reduced by the continual flow of cold dry air through the mouth, further effecting digestion.
Being primal beings, the survival of the fittest response has its roots in keeping us live by either defending for our lives against an attacker or running from them. The body’s precedency isn’t on digestion when contending an angry troglodyte who wants your food, spouse, protection or all three.
At this point, it should be mentioned that a everyday exercise technique is presently being misused within the fitness industry, leaving alone in altered respiration. Teachers in aerobic classes, tae-bo and everything else in between are letting the participants to lead the abdomen in toward the spine as heavy as possible and sustain the belly drawn in endlessly for lengthy periods of time. While this is an crucial exercise technique to actuate the deep abdominal muscle wall and thoraco-lumbar fascia mechanism (key components of stabilization of the entire kinetic chain), activation needs to be graduated and relevant to the level of effort required by the musculo-skeletal system, taking into account exercise intensity and duration. Strong activation held continuously inhibits diaphragmatic ventilation, leading to numerous of the awful switches talked over above.

Corner Mouth Sore – 3 Ways To Treat Your Sores in The Corner of Mouth

There are a lot of people out there that have dealt with a corner mouth sore for many years, without really knowing what it is. You would think that a doctor visit would not be a big deal but with so many people living without health insurance and also dealing with the embarrassment that comes with the sore, a trip to the doctor isn’t on the top of everyone’s list. However, it should be known that your corner mouth sore is more than “just some sore”, it is actually a condition known as angular cheilitis. It will continue to come back to haunt you if you don’t take the time to learn about proper ways to treat it.

Believe it or not, even though this appears to be nothing more than a skin condition, a poor diet can have a lot to do with the onset of your corner mouth sore. Many people are not getting enough Vitamin B-12 and Zinc in their diet. This can be easily corrected. One of the easiest ways to treat angular cheilitis is to start eating a healthier, more well-rounded diet. For those who have mal-absorption syndrome, a series of B-12 shots may be required. If poor nutrition is causing your sores, you are going to want to make sure that you are making some life changes so that you can remain as healthy as possible.

If your case of corner mouth sore is caused by a bacterial infection, you will need to use an antibiotic cream. It will take several days to heal the lesions that you have been suffering with. Even then, the problem can reappear in a matter of weeks or even days. For the extremely severe cases though, a quick trip to the doctors would be advisable because the last thing you would want is for the deep cracks to become infected and bleed. In some rare cases, shallow ulcers can form and this will be even more painful than the simple cracks in the skin.

What you Should Ask About Shingles Disease

An estimate of about a million people in America suffer from shingles disease every year. If you haven’t heard of the disease, its time you get yourself informed. You or a loved one could be at risk of suffering from shingles disease.

What causes shingles?

This disease is closely associated with chicken pox. This is because the virus varicella zoster which causes chicken pox is also the cause of shingles disease. In addition, a person can only suffer from shingles if he has had chicken pox in the past. This is because the chicken pox virus lies dormant after patient recuperation and can recur at some point in the person’s life as shingles.

Is it the same as herpes?

Another name for shingles is herpes zoster. Some other skin diseases may also carry the name herpes. Shingles disease however and some other skin diseases carrying the name herpes is not the same as genital herpes which is a sexually transmitted disease.

Who is at risk of having shingles?

Anyone who has had chicken pox may get shingles. Most of the time though children and young adults who still have strong immune systems may still be able to avoid the illness. Those who are at high risk of developing shingles disease are those with weakened immune systems. These include the elderly and those who are extremely stressed out or fatigued. Of course, people who are severely sick with cancer, AIDS, leukemia and other illnesses also have a higher risk of developing shingles disease.

What are the symptoms of shingles?

The disease is also often called St. Anthony’s Fire because of the seemingly fiery pain the comes from the nerves and runs through the muscles and tissues. Aside from the pain, one will also develop reddish blisters. Fever, chills, fatigue, headache and stomach pains also accompany shingles. Of course, the rashes or blisters may also feel a little itchy.

Are there any complications that follow shingles?

Some individuals may experience shingles more than once. In some cases, even if shingles does not recur, an individual may experience post herpetic neuralgia. This is an enduring and chronic pain usually among the elderly that may go on long after the shingles disease has been treated. In rare instances, shingles can cause some paralysis, encephalitis, pneumonia, blindness, ear problems and even death.

Can shingles spread?

People who have never had chicken pox or have not been vaccinated must steer clear from fresh, active blisters. It cannot however, be transmitted through casual, indirect contact. Once the blisters develop a crust, the virus can no longer be spread.

How do you avoid shingles?

Have yourself vaccinated against chicken pox. If you’ve already had chicken pox before, then you can delay the incidence of shingles disease by keeping your immune system strong and healthy. People with shingles should keep blisters covered to avoid transmitting the virus to others.

How Long Does It Take To Get Rid Of A Nail Fungus Infection?

The first question a person may ask when they develop a nail fungus infection is how long it will take to get rid of the infection. The duration of a nail fungus infection depends on the severity of the infection, the type of treatment that is used and the general health of the person. Prescription medications often cure infections more quickly than natural approaches but they may have unpleasant side effects.

People with chronic diseases such as diabetes or AIDS and people who have had extensive rounds of antibiotic therapy are especially prone to fungal nail infections. This is because their immune systems are compromised.

The two most common types of nail fungus infections are dermatophytes and yeast. Dermatophytes is the most common infection that affects toenails and yeast seems to be the major culprit in fingernail fungus infections. It is important to properly identify the type of infection so that the appropriate treatment can be administered.

Pharmaceutical treatments are sometimes used to trest nail fungus infections. Oral prescription treatments such as Spornax, Diflucan or Lamisil may be used. These medications can hep you grow a new nail that is free from fungus. These medications are typically taken for three months but it can take up to a year for a new nail to fully grow.

Some people use a foot soak for nail fungus infections that is a combination of vinegar and hydrogen peroxide. If you decide to use this popular home remedy be sure to dry your foot completely after the soak because fungi thrive in warm and wet environments.

There are several over the counter medications that can help lessen the time it takes to cure a fungal infection. Leucatin is an all-natural product that helps improve a nail fungus infection in a week. This product may be administered topically or orally. For best results it is recommended that you use both so that the fungus infection can be treated from both outside and inside.

If your nail fungus infection lingers you should see your doctor to rule out underlying health problems that may be associated with the fungus infection. Because you are the one in control of treatment it is really up to you to decide how long a nail fungus infection will last.

Glossary

AIDS: Acquired Immune Deficiency Syndrome

Leucatin: An all-natural product that is very effective in the treatment of nail fungus infections.

Help I Am Allergic To Soy

If you are allergic to soy then you suffer from Allergies Type 1, also called Contact Allergies. Scientists have found at least 16 different allergenic proteins in Soy and they are not certain which of the protein is more dangerous than the others for anyone who has a soy allergy. Stuart Berger, MD, in the 1980s labeled soy as one of the seven top allergens known and yet soy remains as one of American’s favorite health food.

The proteins found in soy trigger the immune system to reaction. Antibodies and histamines are releases into the blood stream in an attempt to neutralize the soy protein. These chemicals trigger the allergic symptoms. In sever cases Epinephrine, also call Adrenaline, is administered to control the anaphylaxis reaction.

Scientists do not clearly understand why the immune system of people allergic to soy considers some food proteins as harmful by the body. The immune system can mount a variety of defenses mechanisms against proteins that is considers as harmful or foreign. Symptoms can be very mild to life-threatening depending on the severity of your soy allergies. They usually occur within a few minutes to a few hours after eating or inhaling soy.

Soy belongs to the botanical family legume. Anyone who is allergic to one of the proteins in the legume family is at a greater risk of developing and allergic reaction to other members of the same family. This allergic reaction is called cross reactivity. The legume family consists of Soybeans, Peanuts, green peas, chick peas, lima beans, and lentils.

Studies from all over the world have also linked the likelihood of developing an allergy to soy if a history of allergy to milk has been demonstrated. A study done in Victoria, Australia has show that 47 percent of the children that are allergic to milk also have an allergy to soy.

The allergic effect of soy is affected by the way the soybean is grown, harvested, processed, stored and prepared. Raw soybeans and soy sprouts are the most allergenic. Soybeans that have been subjected to high temperatures loose some of their danger but not all.

Soy is found in thousands of processed foods that we use every day. Soy can be found in bagels, doughnuts, rolls, pizza, hamburger, margarine, cheese, tofu, soy sauce, and teriyaki sauce. If you have even a mild reaction to soy you need to notify you doctor immediately. Food allergies can gradually get worst over time until a sudden onset of a life threaten reaction occurs. The more times you are exposed to the offending allergen the worst the symptom can become.

As you can see avoidance can be very difficult because soy proteins are often hidden in other foods. Read the labels of every food that you bring into your home. Because the manufacturing processes change continuously re-read the labels each time you purchase a product. On January 1, 2006 a new law was passed stating that all labels should be designed in such a way that a 7-year-old child could read and understand the ingredients.

Always consult your doctor before using this information.

This Article is nutritional in nature and is not to be construed as medical advice.

Physiotherapy Can Help Cervical Nerve Root Neck Pain

Cervical Nerve Root Neck Pain Treatment by Physiotherapy
by Jonathan Blood-Smyth

Cervical radiculopathy is a pain syndrome involving one of the cervical nerve roots, with the C7 root (60%) and the C6 root (25%) being the most commonly involved. In younger persons this is due a direct injury which compromises the nerve exit or due to an acute disc prolapse. In older age groups this syndrome can also occur, but in this case is due to narrowing of the nerve exit by arthritic joints and ligament enlargement, disc bulging and bony outgrowths. Cervical nerve root pain referred to physiotherapists for the management of neck pain and arm pain.

The regular lifting of weights over 12 kilograms (25 pounds), operating or driving machinery which vibrates and cigarette smoking are all risk factors for cervical radiculopathy. This kind of neck and arm pain is much less common than the lumbar syndrome of back and leg pain (sciatica). The discs between the cervical vertebrae allow loads to be transmitted down the spine and damp down unwanted shocks. The joint, disc, bone and ligamentous structures form exit spaces for the nerves on the sides of the vertebrae, with up to a third of their space taken up by the nerve. This space can be compromised if degenerative changes occur nearby, leading to nerve compression symptoms.

There can be many reasons for the onset of nerve root neck pain or it can come on slowly without clear reason. If the neck is moved backwards, tipped to one side and rotated to the same side this can sharply narrow the nerve exit space and injure the nerve, occurring in a traumatic accident or a sporting injury. The opposite can occur with a quick side bend, combined with flexion or extension, tractioning the nerve and causing injury. Sudden loading of the neck in any posture can cause disc prolapse. There may be degenerative changes in an older group and with repetitive or sustained neck postures an osteophyte can impinge the nerve and give a slower development of arm pain.

The physiotherapist will take a detailed history to establish the diagnosis is clearly that of cervical radiculopathy. The exact location and nature of the pain, numbness or weakness, aggravating or easing factors, mechanism of injury, previous occurrences, lower limb symptoms, bladder or bowel dysfunction and medical or other treatments are all noted.

People with root pain look tired due to poor sleep, don’t find anything funny and guard their arm in a protective posture against the abdomen or hold it out to the side with their hand on the back of their neck or the other side of the head. This may reduce the forces through the inflamed nerve root and so reduce pain.

Patients typically present to the physiotherapist in a distressed state, looking tired, having no sense of humour and holding their arm protectively. The arm may be held in front of the body or with the shoulder out to the side and the hand over the top of the head or behind the neck in an attempt to reduce the pain by relieving traction stress on the nerve root.

Initial management is to reduce the inflammation and pain and physiotherapists use cold therapy, anti-inflammatories, manual traction, mechanical traction and instruction to avoid activities or postures which are worsening. The physio reduces the forces applied to the nerve root area with a collar for day or night use to support the neck and limit the available neck movements and with careful manual tractioning to relax muscle spasm and allow the pain to settle.

Initially the physiotherapist concentrates on reduction of the pain and potential inflammation, using ice, non-steroidal anti-inflammatory drugs and other analgesia, avoiding aggravating postures and activities, manual or mechanical traction. The aim of treatment is to reduce the forces going through the nerve root and to allow it to settle. A collar for support and to reduce movement, especially at night, can be useful. Manual traction is a physiotherapy skill which needs to be carefully applied if it is not to worsen the condition. Once the acute phase is over the physio turns to restoring range of movement and neck and overall muscle power, beginning with isometric exercises and progressing. Patients should keep up strengthening, stretching and cardiovascular fitness over the long term.

The Difference Between Bipolar Disorder, Borderline Personality Disorder and Adult ADHD

It can be very challenging for even the most experienced clinician to distinguish the differences between Bipolar Disorder, Type II, Borderline Personality Disorder and Adult ADHD. Symptoms often overlap and these disorders frequently co-occur; however, there can be clues from the history and presentation that often help determine the diagnosis and the appropriate types of treatments. Below, is a case of a patient with a challenging diagnosis followed by tips on differentiating Bipolar Disorder, Type II, Borderline Personality Disorder, and Adult ADHD.

Case:

Anna* is a 46 year-old, married nurse with three children. She presented with persistent low-grade depression, anxiety, and irritability. She was on probation at work for poor performance. She also had a long-standing history of difficulty with friendships.

She complained of life-long depression with intermittent episodes of more severe symptoms. During the more extreme episodes, she overslept, felt more irritable and anxious. She reported chronic racing thoughts and difficulty concentrating.

She had a chaotic childhood. Her father was a successful, workaholic attorney who was also an alcoholic. There were frequent, explosive fights between her parents. Anna was the oldest of 3 children and at the age of 10, her parents divorced. She became ensnarled in their long, drawn-out divorce process. In pre-school and elementary school, she had been quite precocious, according to school reports. She listened well, followed instructions, and had many close friends.

However, as the fighting intensified at home around third and fourth grades her grades dropped and she began to exhibit behavioral problems at school.

The above case represents a challenging diagnosis. Below are tips to help determine the diagnosis and whether there is the possibility of more than one diagnosis.

Mood Swings

Mood swings in Bipolar Disorder, Type II last for one to four days and include the person feeling “hyper”, “on top of the world”, irritable, invincible, elated, or even depressed despite being in a hypomanic episode.

People with Borderline Personality Disorder also have mood swings but they have feelings of sadness, anger, rage, or depression that is more chronically present and triggered by criticism, disappointment or stress. Also, people with Borderline Personality Disorder rarely feel elation.

People with Adult ADHD also describe mood swings and difficulty with managing moods; however, the duration is usually brief and due to low frustration tolerance. Also, in Adult ADHD there are feelings of shame, irritability, frustration, and sadness secondary to difficulty with school, work and relationships.

Impulsivity

Similarly, the symptoms of impulsivity are present in all the disorders but with different histories. Impulsivity may manifest as sexual promiscuity, excessive shopping binges, poor decision-making, automobile accidents or speeding tickets, and careless mistakes. With Bipolar Disorder, Type II, the impulsivity is present only during the periods of hypomania compared to Borderline Personality Disorder and Adult ADHD, when the impulsivity occurs chronically or due to an emotional trigger.

Concentration

All three disorders present with difficulty concentrating or focusing. This creates challenges with completing tasks, jumping from task to task, and starting projects without completing them. These symptoms occur in Bipolar Disorder, Type II only during the hypomanic phase but can be chronic with the other two disorders.

History

In Borderline Personality Disorder, there is more frequently a history of feeling empty and lonely, chaotic relationships, self-injury, and an extreme fear of abandonment. There is often a history of significant physical or sexual abuse during childhood or severe emotional neglect.

In Bipolar Disorder, Type II, there is frequently a family history of depression or Bipolar Disorder, and the symptoms of depression start at an earlier age. Also, depression is the more frequent complaint than hypomania.

In Adult ADHD, the person has persistent challenges with sustained attention, focus, executive functioning, distractibility, time management, procrastination, and significant difficulty with organization.

These symptoms may appear in the other two disorders; however, in Adult ADHD, the symptoms must have existed since childhood. In addition, ADHD has the highest genetic component of all three disorders and is estimated to have a concordance rate ranging from 60-80%. Thus, eliciting a history of other family members with ADHD increases the likelihood that the person may be dealing with Adult ADHD.

All three disorders can manifest “racing thoughts”. In Adult ADHD, these thoughts are intermittently present and are exacerbated when there is greater stress or challenge in the environment.

With Bipolar Disorder, Type II, the symptom of racing thoughts occurs only during the hypomanic phase. The racing thoughts are often described as “crowded thoughts” and thinking of new and creative projects.

In Borderline Personality Disorder, the racing thoughts are usually precipitated by an emotionally laden experience such as a fight with or criticism from a friend or colleague.

Case Continued:

Upon further discussion with Anna, she denied having hypomanic episodes. However, she described feeling empty, lonely and having low self-esteem. Under severe stress, she would become acutely agitated, suicidal, have feelings of worthlessness, and be absent from work.

Over her life, she has gone to the psychiatric emergency room 6 times for suicidal thoughts, but has never made an attempt. She has also had a partial hospitalization. In addition, she has a long history of self-injuring behaviors including anorexia, cutting, and unprotected sex with casual contacts.

Anna has Borderline Personality Disorder as well as dysthymia. My recommendation was to start schema therapy twice a week as well as start on an MAOI and to start treatment in an intensive Dialectical Behavioral Treatment Program (CBT). Even though a MAOI is not FDA approved for Borderline Personality Disorder or dysthymia, there research shows its efficacy.

Two years later, Anna’s mood has stabilized and she feels much less anxious. In addition, she has been able to enjoy more pleasure in her personal life and career. She has currently been in a relationship for 14 months, and although the direction of the relationship is unclear, she feels more comfortable tolerating the unknown.

This case presents the diagnostic challenges distinguishing Bipolar Disorder, Type II, Borderline Personality Disorder, and Adult ADHD. Using the above distinguishing features and taking a thorough assessment improves the accuracy of the diagnosis and helps in the determination of an effective treatment plan.

References:

Hirschfeld RM,Cass AR, Hot DC, Carlson CA. Screening for bipolar disorder in patients treated for depression in a family medicine clinic. J Am Board Family Practice. 2005:18: 233-239

McIntyre, Roger. Differential Diagnosis of Bipolar Disorder. Supplement to Current Psychiatry. Bipolar Disorder. 2011: 3-22.

* To Maintain confidentiality

Reasons for Back of Throat Bad Breath and How to Prevent it

The vast majority of bad breath cases are attributed to the presence of bacteria that resides within a person’s mouth. Basically, a person’s mouth has a number of oxygen deprived spots such as the back portion of the tongue, or openings in between the gum and teeth, causing food debris to be trapped, consequently providing bacteria the fuel to bring forth malodor causing waste products. However, a relatively small number of bad breath sufferers are known to induce the stench directly from the throat. How could this be possible considering the fact that the back of a person’s throat is not normally regarded as a breeding place for anaerobic bacteria? Without a doubt, it is absolutely possible for malodor to originate from the throat, and what’s more, the stench can be extremely unbearable and much worse than your typical bad breath. Below are the two major reasons for causing back of throat bad breath and suggestions on how to prevent them.

1. Pharyngitis – A medical term for sore throat. Pharyngitis often causes the throat to swell up with reddish color and is generally caused by viral infections. However, bacteria infections can also contribute to this condition and in some severe cases, may lead to extreme bad breath. To manage this problem effectively, it is best that you abstain from consuming alcohol or smoking for the interim period, (quitting the latter for good is highly preferable actually) and seek help from a physician as he or she could prescribe the appropriate antibiotics for treating the inflamed throat which may subsequently dissipates the foul smelling odor.

2. Tonsilloliths – Tonsil stones are an absolute nightmare because they emanate an incredibly stinky, nose busting odor that can be difficult to treat and may require surgery in order to be completely removed. These yellow-whitish, ball-shaped lumps stick at the back of the throat causing irritation. They can actually be taken out from the tonsil but will usually reappear after a day or two making the removal process a tiresome affair, not to mention redundant.

Those who no longer wish to have their sufferings prolonged would usually opt for the coup de grace – tonsil surgery, or tonsillectomy, a sure-fire method for ridding those irritating stink balls for good. Although effective, post-tonsillectomy can be a completely harrowing experience, so one should give conventional, non-surgical methods a fair run before pursuing the former as they can also be almost as effective after continual application.

A really good way of averting the dreaded stink balls is to mix a couple of 2 teaspoons of honey and bicarbonate soda in a glass of warm water. The mix should be gargled for a minute or so before drinking. Another widely used, non-surgical method for treating tonsil stones is to gargle with warm salt water. Also keep in mind that smoking and drinking should be kept at the absolute minimum to prevent tonsilloliths from causing extreme back of throat bad breath.

To YOUR Bad Breath Success,
Tony Reyes

Fear of Anxiety – How You Can Regain Your Life

Of all the many fears that exist out there, having a fear of anxiety is perhaps one of the most horrifically taunting. In this article I will cover what a fear and anxiety is, and how they two interrelate with each other and impact a person's life, as well as how to solve the problem relatively easily.

Many people believe fear and anxiety are one and the same, however this is not correct. In order to better understand what the fear of anxiety feels like, we must first clarify the difference between both fear and anxiety.

What is Fear

Typically, fear is the concern that is directly linked to things, people, events and circumstances. It is quite often linked directly to things that are planned in the future. He usually comes with the internal mind game "what if?". If you find yourself playing the what if game, then there is a good chance that fear is ruling the game.

What is Anxiety

In simplicity, anxiety is the physical sensations that vary in strength when exposed to something that has fear attached. As an example, exam anxiety is felt when either physically present in an exam situation, or so mentally immersed that your mind perceives a threat. Unlike fear, anxiety is felt when we immerse ourselves in a fear.

Most often, anxieties are formed in our childhood. What began possibly with an innocent misinterpreted experience, becomes compounded and reinforced over the years, until it breaks through conscious awareness and becomes known to you.

What is a Fear of Anxiety

A fear of anxiety is simply were an individual finds themselves playing the what if game with anxiety as their subject. Perhaps they have witnessed somebody else having an anxiety attack, or under a high amount of stress they experienced anxiety. Regardless of the situation, they find themselves thinking about the future to such a focused degree.

Having a fear of anxiety and literally freeze you to the ground. Playing the "what if" game is never a constructive way to treat it. A fear of anxiety may be linked to absolutely any behaviour or action. It is because of this, many who suffer it often feel so embarrassed they try to conceal it from their friends and family.

How can I treat a Fear of Anxiety

The subconscious mind is that part of the mind that holds onto all of our fears, concepts and understandings. Because of this, the fastest and most reliable way to cure a fear of anxiety is by tapping into the supercomputer, which is our mind.

Using hypnosis, a person can easily access the subconscious mind and both understand and solve the issues that led to the fear of anxiety. With the assistance of the subconscious mind, this issue is clarified and cleared quickly and permanently without possible decades of traditional therapy.

Ten Tips for Dealing With Anxiety Attacks

These are some of the best ways to deal with anxiety and panic attacks.

1. Medication

People often turn to our medical system and expect a “magic bullet” to reduce or eliminate their anxiety attacks. Today’s drugs get quite close to that ideal, although some people can experience side effects. Various types of benzodiazepines are often prescribed, the best known of which is probably Valium, although stronger drugs are available if necessary.

2. Cognitive Behavioral Therapy

Once your anxiety attacks start to come under control, therapy may be your next step. Cognitive Behavioral Therapy aims to help anxiety attack victims to cope with their problems. It usually involves making you challenge what you believe is the source of your anxiety attacks and change your way of thinking and thus dealing with the phobia.

3. Self-Monitoring

This is often one of the best ways of dealing with panic and anxiety attacks. After all, no-one knows more about you than you do. Self monitoring starts by identifying the specific problem that causes the anxiety attack. Once this is identified, the next step is to search for an appropriate solution. Of course, if the perceived problem has no solution that you can directly control then the best solution may be to disregard it as no matter how much worrying you do, you will have no effect.

4. Meditation

Meditation helps to calm you down. A regular meditation, say for 10 minutes when you wake in the morning or just before you go to sleep, will help to calm you down. If you have a meditation class locally, that would be worth investigating. Otherwise check one of the guided meditations on the internet or Amazon.

5. Relaxation

Very often we have forgotten how to relax. It’s a skill that modern day life doesn’t seem to require. Learn how to relax, maybe by listening to some of your favorite music or taking a gentle stroll through a nearby park. Set aside a special “me time” of the day to relax.

6. Physical Exercise or Yoga

Most of us don’t get as much exercise as we should. Set aside some time each day or week for physical exercise of some sort. This doesn’t have to be a gym session. It could include brisk walking, taking a swim or maybe joining a local yoga class. While you’re at it, check your diet as that could be contributing to your anxiety. Cut down on processed foods and read the label for sugar content as well as fat.

7. Stop Being Self-Centered

OK, we’re all our own most important person. However, that can be taken to extremes. Start to focus on others as well as yourself. Reach out to them. Smile at people in shops and restaurants. Thank them when they serve you – you’ll notice this has a profound effect on the quality of service that you get in return as well as making the world a happier place!

8. Cut Down on the Alcohol, Cigarettes and Caffeine

Alcohol is a depressant. If you’re already anxious, it will lead you further down. Caffeine and cigarettes aren’t part of our natural diet either. Don’t attempt to go cold turkey – just cut down gradually and you’ll almost certainly find that you don’t miss the cigarettes, coffee, cola and alcohol.

9. Don’t Bottle Up Your Feelings

If you always bottle up your feelings, they’ll eventually have nowhere in you to go and they’ll surface as dis-ease. Talk about your feelings with anyone who will listen. The Samaritans do an excellent job of anonymous listening if you can’t find anyone you know and trust to talk about your anxiety.

10. Change Your Lifestyle

Do you really have to have a high stress job with a long commute? Or would you get more pleasure and as much cash from something less demanding? Think about what you can do to change your lifestyle for the better. It could be as easy as having some plants or scented candles around your home or it may need something more drastic.

What You Need to Know about ENT Disorders

Perhaps one of the most discomforting health conditions affecting many people would be ENT problems. These are diseases of the interconnected passageways of the ears, nose, and throat. Some of the most common ENT disorders include ear infection, sinusitis, strep throat, tonsillitis, and sleep apnea. When bothered with these conditions, it is best to see an otolaryngologist, or simply known as an ENT doctor.

Signs and Symptoms of ENT Disorders

ENT disorders, if left untreated, can lead to more serious problems. Just to name a few, possible complications include permanent hearing loss, speech disorder, heart failure and other diseases. This is why it is important to monitor your body and consult a doctor at the earliest onset of the symptoms. Ear infections are common among adults and children. Symptoms of this ENT disorder include ear pain, loss of hearing, balance problems, discharges from the ear or frequent respiratory infection. Small children also manifest irritability, balance problem and fever when having ear infection. Another ENT disorder many people suffer from is sinusitis. Signs of an infection include constant sneezing and coughing, difficulty in breathing, sore throat and bad breath, headache, toothache and facial pain.

Tonsillitis is another common ENT disorder wherein the tonsils are enlarged and swollen for long periods of time. People suffering from tonsillitis often complain about having difficulties in swallowing, recurring pain in the throat area, bad breath and changes in voice. Having enlarged tonsils can also lead to another ENT disorder that can occur on both adults and children. Sleep apnea is characterized by pauses in breathing when asleep with symptoms such as snoring, waking up several times at night, headache, fatigue, and even depression.

Preventing ENT disorders

Ear infections can be easily prevented by taking proper care of the ears. Avoid sticking pointed objects in your ears. Ask your ENT doctor on how to properly remove earwax. Use earplugs when swimming to avoid water coming in your ears. Sinus infections can also be prevented by taking good care of the nose and sinuses. Avoid cigarette smoke and polluted areas. When suffering from simple colds and allergies, immediately treat them with over-the-counter drugs to prevent infection. Nasal washing and steam treatments are also highly recommend for sinus care.

Often times, tonsillitis is due to exposure to bacteria and viruses. So, good hygiene is also the key to preventing this, and other related conditions. Wash your hands frequently to get rid of dirt and germs. Avoid exposure to allergens and pollutants. As for sleep apnea, since excess weight is often the cause, try to maintain a healthy body weight. Watch what you eat and exercise regularly. Start leading a healthy lifestyle for a stronger immune system.

For more information, please visit http://www.sinusaero.com

How to Solve Insomnia – Treating Insomnia

In the seemingly never ending quest to find out how to solve insomnia problems which plague us every night, we tend to first gravitate toward the obvious … drugs. Now, the problem with this is fairly well known, as many have gone through the dependencies that these addictive medications are prone to cause. Of course, whether prescription or over the counter, sleeping pills lose their effectiveness after only one or two months, at which time addiction may already have a foothold.

But in the research done to find out just how to solve the problems of sleep deprivation and insomnia, there have been breakthroughs in more scientific methods of approach which are much safer, have no dangers of dependency, and continue to work even after the therapy has done its job and no longer is needed. These involve listening to certain special audio tracks … and no, I'm not talking about anything subliminal or hypnotic here. Certain tones and pulses in specific frequencies induce the production of certain brainwaves which occur during the different phases in the natural cycle of sleep.

This is exactly how to solve conditions such as insomnia and sleep deprivation. Before, binaural audio therapies worked excellently, except for the drawback that a person had to use stereo headphones to implement the treatment. Needless to say, trying to sleep with headphones on can be counterproductive, as they may come off in sleep and even wake you up. However, there is a more effective type of audio programming known as isochronic tones and pulses which need no stereo equipment.

Just a regular CD player will do just fine, and the tones and pulses are barely even audible. Relaxing, brainwave inducing, mind calming sounds which gear your brain to quiet all the mental chatter and relax to a state where sleep is most conducive. To date, Isochronic audio therapy is the safest, quickest, most effective method – this is how to solve insomnia.