Stress Fractures

Many athletes, or just normal people that work out regularly, can end up with a stress fracture, and not even know how it was caused. Many of these people have no recollection of an injury or accident that could have brought on the stress fracture; it just starts hurting one day, and gets exponentially worse.

Stress Fractures are small, and can be minuscule, cracks in the bone that are very often the result of over-exertion during exercise. When working toward a goal, or embarking on a new fitness regime, many people take it to the next level, too soon. Starting a running routine at a 10 minute mile on a 6 mile course would be a good example. It seems like a good idea to just jump right in and get into a routine, but the best plan is to build up to it. Exercise will actually strengthen your bones, when done correctly, but when people pile on more than their skeleton can take, it overwhelms the body’s natural process of growth and repair, and creates tiny, painful cracks. Most commonly, stress fractures are found in the feet and shins, a result of too much high or repetitive impactful cardio routines.

Stress fractures will heal themselves over a period of a few weeks normally, but your MD should be consulted, in the case that it is more than a stress fracture, and to prevent it from leading to a break down the road. During the rest period, it is recommended to avoid the exercise that caused the fracture in the first place, but replace it with low-weight bearing, non-impact exercise, such as riding a stationary bike, swimming or using the elliptical trainer.

Keeping tabs on the fracture is imperative, and checking in regularly with your doctor is going to help you with this. If it continues to hurt at the same or a heightened level, there may be more going on than a stress fracture, and your doctor will need to take a further look, take X-Rays and possibly set you in a cast, or a temporary medical boot.

Protect yourself from re-injury by taking it easy, or easier than you would normally. Lighter weights with higher reps may help, in addition to non-impactful cardio. When at work or play, avoid wearing uncomfortable, unsupportive shoes, and stick to athletic shoes as much as possible to help support your injury. It may be time to take a look at your footwear, especially the ladies, and trade in some of the high heels for more stable and suitable shoes. And if the problem persists, ask your doctor to take a more invasive exam, because there may be a different underlying problem that caused the fracture.

Follow a strict set of guidelines when resuming your work out routines, and take your time increasing your weight, duration and distances. The last thing you want is to bring the fracture back when it has almost fully healed, and do it all over again.

Car Accident Shoulder Injuries – What You Must Know

Shoulder injuries in a car accident are common. They are caused mostly by the jerking movements that occur in an accident and may be further aggravated by seat belt shoulder straps. Shoulder injuries may also be related to neck injuries. Understanding more about shoulder injuries will allow you to recognize them quickly and seek treatment to prevent further discomfort and problems.

Causes of Shoulder Injuries

In a car accident shoulder injuries can be caused in three main ways. The first is as a result of a neck injury. A neck injury can radiate pain down the arm due to nerves being injured. The injury to the neck will then cause problems in the shoulder.

The next cause is direct damage to the shoulder from impact during the crash. This causes immediate pain and is easily recognized.

The last cause is from whiplash. Whiplash is usually associated with the neck, but it can cause pain in the shoulders as well. It may not cause pain right away after the crash, but may develop over time.

Treatment

Shoulder injuries are usually found through an x-ray or and MRI. Most shoulder injuries are not severe and merely require rest and pain medication for proper healing. If the injuries are more severe then surgery or extensive therapy may be needed.

The earlier treatment is sought for a shoulder injury, the better. Early recognition of a shoulder injury and early treatment help to insure the problem is cared for correctly and prevents further damage from occurring. You should always make sure that any medical care you receive is documented and that you keep a copy for your records.

What to do After an Accident

Since some shoulder injuries may not develop symptoms right away it is always smart to have a complete medical check following the accident. If you fail to get checked out and have your medical attention documented then you may not be able to recover damages later on if symptoms do appear.

When you are in an accident it is smart to exchange information with the other driver. You should get their name, address, telephone, number, insurance information and license information. Make sure that you do not speak with them about the actual accident. You should only speak with the police to give your statement. You may also wish to gather information from witnesses.

You want to document everything about the accident so that any shoulder injury found in the future that can be linked to the accident can be claimed. If you are careful in how you handle an accident you should be able to make a claim against the other person for your shoulder injury.

Shoulder injuries from a car accident are usually not too severe, but they are severe enough to make you lose time at work and to rack up medical bills that can be costly. It is important that if you suffer from a shoulder injury resulting from a car accident that you report it to the insurance and make a claim so you can recover your costs.

Cerebral Palsy and Stem cell treatment

There is currently no cure for cerebral palsy and no standard therapy that works for all patients. Many of the brain damage-related incidents that cause cerebral palsy occur during pregnancy, making prevention difficult. This has lead many researchers to believe regenerative stem cell therapies provide an option to regenerate nerve tissue and repair damage to the brain.

Cerebral palsy, which affects about 500,000 people in the United States alone, is defined as brain damage that occurs before or during birth. The number of people with the disorder has increased over the last 30 years as more premature babies survive. Its effects are variable, from barely detectable to devastating loss of motor control. The causes are diverse as well, including everything from oxygen deprivation during birth to prenatal infections.

Significant treatment results are obtained from using umbilical cord stem cells without significant Graft versus Host complications. (Handgretinger, 2001).

In-vitro studies have shown cord blood stem cells are able to differentiate into neural cell types. In animal models, research has demonstrated convincing evidence that cord blood stem cells injected intravenously migrate to the brain (passing the blood-brain barrier) and improve neurological function and promote healing. The results from such studies lead many researchers to suggest that infusion of cord blood stem cells could alleviate damage to the brain tissue, reduce muscle spasm and improve gait and mobility-related problems in humans.

This research lends support for the pioneering clinical work at Duke University, focused on evaluating the impact of autologous cord blood infusions in children diagnosed with cerebral palsy. Dr. Joanne Kurtzberg, a professor of pediatrics and pathology and director of Duke’s Pediatric Blood and Marrow Transplant Program, infuses children’s own cord blood stem cells back into the body to facilitate repair of brain tissue damaged by perinatal hypoxic (oxygen-deprived) events. To date, more than 20 children have participated in the treatment with excellent results.

Regenecell’s procedure is more comprehensive and involves a 4 day process in which the child’s circulatory and nervous systems are flooded with mesenchymal cord blood stem cells to enhance the regenerative potential of the therapy. Since so few patients have their own cord blood stored we use donated cord blood cells, to which our patients have responded well without a single adverse event.

Bells, But No Whistles: Bell’s Palsy

The face is one of the primary assets that a person can have when interacting with others. It is a useful tool when attempting to convince or sway people, particularly when combined effectively with voice and gestures. Simple facial gestures from a trusted figure can go a long way to helping someone overcome fear and anxiety in a variety of situations. A well-placed smile can also go a long way in getting someone to overcome his anxiety and agree to a risky but profitable operation. So it is understandable that some people would rather not have to attempt to convince someone of anything if they have Bell’s Palsy.

Bell’s Palsy is a neurological disorder that causes a distinctive distortion of the lips commonly known as the “Bell’s Smile.” The problem is typically caused by inflammation of certain muscles on one side of the face, causing the famous “distortion.” The disorder is also often accompanied by partial or total paralysis of one side of the face. In most cases, the paralysis and inflammation are limited only to a certain area, being just enough to prevent a person from naturally correcting the unusual crookedness of the lips. Most doctors investigate how far the damage extends, as cases can differ between the number of nerves that are actually involved in the problem.

Being diagnosed with Bell’s Palsy is often a case of elimination for the attending physicians. There are various problems and neurological disorders that can affect the face. The common symptom, the inflammation of certain muscles in the face, can also be caused by a wide range of internal and external factors. A stroke and a minor tumor on the side of the face can also cause the prerequisite level of paralysis, though it is not a common occurrence for either one. In some cases, it has been reported that the inflammation itself is the cause of the problem, rather than being a symptom of the problem itself.

Treatment for Bell’s Palsy is often either difficult or unnecessary. It can be difficult because there is no clear cause, thus giving doctors nothing to directly attack. In some cases, muscle relaxants are given to help ease the inflammation, but this is only a preliminary measure. Anti-inflammatory drugs have also been suggested to help decrease what it seen as the core of the problem. However, studies have shown that these drugs have not been consistently effective. In the past, surgery has been used to correct these musculo-facial problems but the results have either been inconclusive or have proven to be ineffective. Some have tried to look towards alternatives such as acupuncture, but this avenue of treatment has also shown inconclusive results. Chinese medicine recognizes the problem, but there are no reports on what is the traditional treatment for it.

In most cases, Bell’s Palsy fades by itself if treated early on. In the earlier stages of the disorder, muscle relaxants are often enough to eventually correct the problem. The duration of the problem varies, but it can range from weeks to months. In some cases, however, it can be prolonged if the treatment is not administered early enough to have an appreciable effect. While these people are able to converse as normal, some conditions can cause it to worsen and the person would be rendered unable to speak normally for a period of time.

Hernia – Signs and Symptoms of Hernia

A hernia may be likened to a failure in the sidewall of a pneumatic tire. The tire’s inner tube behaves like the organ and the side wall like the body cavity wall providing the restraint. A weakness in the sidewall allows a bulge to develop, which can become a split, allowing the inner tube to protrude, and leading to the eventual failure of the tire. Hernias may present either with pain at the site, a visible or palpable lump, or in some cases by more vague symptoms resulting from pressure on an organ which has become “stuck” in the hernia, sometimes leading to organ dysfunction. Fatty tissue usually enters a hernia first, but it may be followed by or accompanied by an organ.

Hernia occurs when the contents of a body cavity bulge out of the area where they are normally contained. These contents, usually portions of intestine or abdominal fatty tissue, are enclosed in the thin membrane that naturally lines the inside of the cavity. Although the term hernia can be used for bulges in other areas, it most often is used to describe hernias of the lower torso (abdominal wall hernias).

The femoral canal is the path through which the femoral artery, vein, and nerve leave the abdominal cavity to enter the thigh. Although normally a tight space, sometimes it becomes large enough to allow abdominal contents (usually intestine) into the canal. A femoral hernia causes a bulge just below the inguinal crease in roughly the mid-thigh area. Usually occurring in women, femoral hernias are particularly at risk of becoming irreducible (not able to be pushed back into place) and strangulated.

Signs and Symptoms of Hernia

Early on, the hernia may be reducible – the protruding structures can be pushed back gently into their normal places. If those structures, however, cannot be returned to their normal locations through manipulation, the hernia is said to be irreducible, or incarcerated.

The vast majority of hiatal hernias are of the sliding type, and most of them are not associated with symptoms. The larger the hernia, the more likely it is to cause symptoms. When sliding hiatal hernias produce symptoms, they almost always are those of gastroesophageal reflux disease (GERD) or its complications.

In developing baby boys, a hole in the abdomen allows the testicles to descend into the scrotum. In girls, a similar opening may exist even though the ovaries do not descend out of the abdomen. Normally, this hole closes before a baby is born. A hernia results when a sac protrudes through the opening and the lining of the abdominal cavity.

About five in every 100 children have inguinal hernias. Inguinal hernias in newborns and children result from a weakness in the abdominal wall that’s present at birth. Sometimes the hernia may be visible only when an infant is crying, coughing or straining during a bowel movement. In an older child, a hernia is likely to be more apparent when the child coughs, strains during a bowel movement or stands for a long period of time.

A hiatal hernia by itself rarely causes symptoms — pain and discomfort are usually due to the reflux of gastric acid, air, or bile. Reflux happens more easily in the presence of hiatal hernia, though a hiatal hernia is not the only cause of reflux..
Pain or discomfort in your groin, especially when bending over, coughing or lifting. A heavy or dragging sensation in your groin .Occasionally, in men, pain and swelling in the scrotum around the testicles when the protruding intestine descends into the scrotum

Osteoporosis and interventions for vertebral fracture

Osteoporosis and interventions for vertebral fracture

World osteoporosis month
Osteoporosis:
Interventions to manage vertebral fractures

Dr (Maj) Pankaj N Surange
MBBS, MD, FIP
Interventional pain and spine specialist

Some important facts about osteoporosis

• Osteoporosis is a systemic skeletal disorder characterized by low bone mass, disruption of the microarchitecture of bone tissue, and compromised bone strength which leads to an increased risk for fracture.
• Bone strength is a product of both bone density and bone quality. Bone density is expressed as grams of mineral per area or volume; bone quality refers to factors such as architecture, turnover, damage accumulation (e.g., microfractures), and mineralization
• Osteoporosis is common among menopausal women but is often clinically silent until a fragility fracture occurs. Osteoporosis is also being recognized with increasing frequency in older men.
• After peak bone mass is reached, the bone remodeling process is in a state of equilibrium until menopause. Cessation of estrogen production leads to rapid bone loss of approximately 2% to 3% per year in the spine for up to 6 to 8 years, which accounts for 50% of the total spinal bone loss among normal women .This is then followed by a slower rate of bone loss (0.5%/year), which is attributed to aging.
• Even among men, it is now known that estrogen deficiency plays a big role in bone loss, perhaps an even bigger role than played by testosterone . Studies among osteoporotic males have shown a closer correlation between estradiol levels and bone mineral density (BMD) than testosterone and BMD. A finding that men with osteoporosis may have low estradiol yet normal testosterone levels further supported this correlation.
• Clinically, osteoporosis is diagnosed when bone mineral density (BMD) is reduced or when fragility fractures (ie, fractures after little or no trauma) occur.

Dual-energy x-ray absorptiometry (DXA) is by far the best standardized technique and is preferred for diagnosing osteoporosis and monitoring responses to therapy. BMD assessment by DXA has been used by the World Health Organization to define osteopenia and osteoporosis

Normal BMD T-score –1

Low bone mass (osteopenia) BMD T-score < –1 and > –2.5
Osteoporosis BMD T-score –2.5

Severe osteoporosis BMD T-score –2.5 with one or more fragility fractures

• The most common misuse of the WHO criteria is applying it to nonwhite postmenopausal populations. The fracture risk/T-score relationship used for these criteria was derived solely from a database of white, postmenopausal women. Thus, the criteria cannot be taken to mean or suggest the same fracture risk when the individual being measured is male, premenopausal, or nonwhite.
• The T-scores obtained from peripheral sites do not have the same fracture implication as those obtained with central machines.
• Degenerative changes in the spine are exceedingly common among the elderly. These are seen as sclerotic changes in the facets and discs as well as osteophyte formation. They elevate BMD and may lead to falsely normal BMD and T-scores in the spine.
• Vertebrae with compression fractures are denser than normal vertebrae and would have higher T-scores. It would be a big mistake to withhold therapy for a patient who appears to have normal T-scores due to compression fractures.
The most common osteoporosis-related fractures involve the thoracic and lumbar spine, the hip, and the distal radius.

Biochemical evaluation
Successful management of osteoporosis requires a careful choice of biochemical tests to determine the presence of secondary causes of osteoporosis. At a minimum, laboratory evaluation should include a complete blood cell count, serum chemistry panel, liver function tests, and serum thyroid-stimulating hormone and calcium determinations.

Complete Blood Count

Complete blood count (CBC) tests can detect anemia, which can be seen in many secondary causes of osteoporosis; these include celiac sprue and other malabsorptive states, chronic liver disease, chronic kidney failure, metastatic bone disease, and multiple myeloma.
KFT
Renal insufficiency often leads to a deficiency in 1—25 OH vitamin D deficiency and secondary hyperparathyroidism, which must be addressed prior to initiation of osteoporosis therapy. Bisphosphonates are contraindicated when GFR falls below 30 mg/24 hours
Liver Function Tests

An alanine aminotransferase (ALT) test is the most cost-effective way to screen for liver disease among osteoporotic patients. Elevated ALT levels suggest liver dysfunction, which, regardless of the cause, increases the risk of vitamin D deficiency.

Serum calcium

Postmenopausal women as a group are commonly affected by primary hyperparathyroidism .A serum calcium determination adequately screens for this disorder


Treatment of osteoporosis

The essentials of management for most forms of osteoporosis include the following:
• Lifestyle modifications.
• Nutritional interventions.
• Pharmacologic therapies.
• Interventional procedures for vertebral fractures
Lifestyle Modifications
Safety of the patient’s immediate environment to prevent falls and fractures, eliminating habits that are deleterious to skeletal integrity and that can contribute to falls

Discontinue smoking and alcohol consumption.

Weight-bearing exercise program

In patients with inflammatory diseases who are receiving long-term glucocorticoid therapy and are at risk for osteoporosis, an exercise and physical therapy program is imperative

Nutritional Interventions

Nutritional interventions for osteoporosis should assure that the diet plus supplements provide at least 1200 mg of elemental calcium per day and up to 1500 mg in high-risk patients over the age of 70 with established disease or with steroid-induced osteoporosis.

Pharmacologic Therapy

Drugs for osteoporosis can be divided into two major classes: antiresorptive and anabolic agents. Antiresorptive agents inhibit bone resorption, mainly through their action on osteoclasts, whereas anabolic agents stimulate osteoblastic differentiation and activity.

Antiresorptive Therapy

Bisphosphonates

These pyrophosphate analogues bind to hydroxyapatite crystals in the bone, are taken up by osteoclasts in the bone, and exert their action by inhibiting the mevalonate pathway, subsequently leading to inhibition of osteoclast function and increase in rates of apoptosis. Oral bioavailability is generally low, only 1% to 3%, and is greatly inhibited by food, calcium, iron supplements, and drinks. Patients must be advised to take this medication in the morning, to withhold food and drinks to ensure good absorption, and to remain upright for at least 30 minutes.
• • Bisphosphonates
Alendronate 5 mg/d or 35 mg/wk for prevention of osteoporosis; 10 mg/d or 70 mg/wk for treatment of postmenopausal, male, and glucocorticoid-induced osteoporosis

Risedronate 5 mg/d or 35 mg/wk for prevention and treatment of postmenopausal and glucocorticoid-induced osteoporosis
Ibandronate:2.5 mg /d or 150 mg/month .or 3mg iv 03 monthly

Raloxifene
Raloxifene is a selective estrogen receptor modulator, with agonistic effects on bone. The major efficacy trial for raloxifene was the Multiple Outcomes of Raloxifene Evaluation (MORE) Trial. The LS BMD increase over the 3-year study period was 2% to 3%, and vertebral fracture reduction rates in women with and without preexisting fractures were 50% and 30%, respectively.
Calcitonin
Because of its modest effect on BMD, and small fracture risk reduction, calcitonin is rarely used as first-line therapy; rather, owing to its mild analgesic effects, this drug is more commonly used now as an adjunctive therapy after an acute vertebral fracture, usually combined with a stronger antiresorptive.

Hormone Replacement Therapy
Hormone replacement therapy (HRT) was the original antiresorptive therapy used for osteoporosis. However, current controversies centered on increased breast cancer, and cardiovascular risks have resulted in a marked decline in use for osteoporosis indications.

Anabolic Therapy
Teriparatide
Synthetic human parathyroid hormone [PTH (1—34)], or teriparatide, is an anabolic agent that has been approved for postmenopausal and male sosteoporosis treatment

Combination Therapy
Trials that have studied combination therapy for osteoporosis had BMD and not fracture risk reduction as the primary endpoint. Thus, although the effects appear to be additive, it is unknown whether there is indeed a greater reduction in fracture risk when two agents are combined.

Interventional procedures for vertebral fractures

Kyphophasty and Vertebroplasty

These two surgical modalities have been reported to successfully relieve pain from acute compression fractures and decrease kyphosis slightly .The procedures entail injection of polymethylmethacralate or bone cement directly into the fractured vertebra in vertebroplasty, and into a balloon within the vertebra, in kyphoplasty.

Vertebroplasty is a percutaneous procedure with a low complication rate that provides immediate and long-¬term pain relief to patients suffering from chronic ver¬tebral compression fracture pain. Vertebro¬plasty is a minimally invasive procedure that not only provides immediate relief but continued and prolonged relief that may increase the patient’s daily activity level, which in turn helps provide a better quality of life. In several studies it has been shown that in more than 90% cases it provide immediate pain relief.
Some of the potential complications include leakage of the cement into the spine, surrounding structures, and vessels.

2010 Chevrolet Corvette Grand Sport Test Drive – Z06 Attributes without the Z06 Price

Knowledgeable enthusiasts agree that Chevy’s current C6 Corvette is the best ever, and few question that the racer-like limited-production 505-horsepower $75,000 Z06 and the faster-still, and surprisingly refined supercharged 638-horse $108K ZR1 models are the best high-performance sports-car values on the market. But until now, there has been a substantial price gap between the roughly $50K base Corvette and that Z06.

The new 2010 Chevy Grand Sports fill the gap (for just $5-6K premiums above base MSRP) between the most Spartan Vettes and the Z06 and even more expensive ZRI. Chevrolet expects them to account for nearly half of 2010 Corvette sales, and—given their forceful good looks and outstanding performance value—we;see no reason to doubt that prediction.

Purists complain that Corvette V-8s (like Chrysler’s HEMI V-8s), with their single camshaft nestled deep in the center of their blocks driving overhead valves through pushrods and rockers, are inefficient “old tech” compared to other modern engines with camshafts mounted atop their heads. Yet the many advantages of cam-in-block construction—including lower cost and complexity, lower weight and center of gravity, easier build and serviceability and smaller overall size for a given displacement—provide truly notable performance for the money. Few complain about this 6.2-liter non-turbo LS3 V-8’s prodigious power and torque and surprising fuel efficiency (16/26 EPA city/highway mpg) at the Corvette’s fairly affordable price. And if the standard 430 horsepower and 424 lb.-ft. of torque are not sufficient, an optional two-mode exhaust system bumps those impressive numbers to 436 and 428.

Amazingly (at the price), the LS3 engines in six-speed-manual Grand Sports are hand built alongside Z06 and ZR1 V-8s at GM’s Wixom, MI special engine build facility and boast racer-like dry sump lubrication with a remote oil reservoir to prevent oil starvation during extended hard cornering, plus a differential cooler and a rear-mounted battery. Also standard with the six-speed manual is a terrific launch control system that modulates full-throttle torque 100 times per second to maximize available traction. The driver can just stand on the gas and side step the clutch for consistent four-second 0-60 launches.

Grand Sport Corvettes roll on large (275/35ZR18 front, 325/30ZR19 rear) high-performance tires on unique alloy wheels with Z06-size brakes: front 14-inch rotors with six-piston calipers and rear 13.4-inch rotors with four-piston calipers. A step above standard Corvettes in performance (thanks to more insistent gearing) and especially in dynamics, they are civilized on the road yet fiercely capable on a track. You could comfortably pilot one to work each day and pound it around a racetrack every weekend.

We tested manual and automatic coupes and convertibles on local roads and freeways, then brutalized manual-shift coupes on GM’s Milford, MI high-speed development track, and found much to love and little not to like. On climate-cratered Michigan roads, their ride was controlled but comfortable and compliant. On the track, their handling and stability were near-Z06 awesome. Acceleration was strong from any speed, braking was consistently powerful and stable and steering was crisp and precise. Uphill and down, through hairpins, fast sweepers and tight, tricky esses (with standard stability control on), they took a slight tail-out set powering out of each turn then dug in and rocketed toward the next one.

There is now a well-defined hierarchy within Chevy’s 2010 Corvette line-up, beginning with the base coupe at $49,880 MSRP (Manufacturer’s Suggested Retail Price) and climbing through the standard convertible at $54,530, the Grand Sport coupe at $55,720 and Grand Sport convertible at $59,530 before jumping to the $75K Z06. Standard on all 2010 Corvettes are keyless access, stability control, side air bags, OnStar with Turn-by-Turn navigation, AM/FM/CD radio with steering wheel controls, launch control (with manual transmission) and steering wheel paddle shifters with optional automatic.

Two available interior packages fill the gap between the standard trim and the posh leather-wrapped cabin, and a Heritage Package adds those front fender stripes and two-tone seats with Grand Sport embroidery. Additional major options include DVD navigation with voice recognition, Bose premium audio with XM Satellite Radio and a six-disc CD changer.

Trigeminal Neuralgia – Natural Remedies Relieve Pain by Getting to the Root of the Problem

What is Trigeminal Neuralgia?

Trigeminal Neuralgia is a condition characterized by the occurrence of severe neuralgic pains within one or more divisions of the trigeminal nerve. The branches of the trigeminal nerve are spread over the face, from the jaw to the forehead. The episodes of excruciating pain are generally short-lived and on one side of the face. Simple things like washing the face, brushing teeth, or even a gentle breeze can trigger an attack. Trigeminal neuralgia is considered as one of the most painful afflictions of the human body. It mainly affects middle-aged and elderly people, and is more common in women.

Common Treatment Options for Trigeminal Neuralgia:

Allopathic Treatment of Trigeminal Neuralgia

–       Carbamazepine (Tegretol, Carbatrol) is commonly used as primary trigeminal neuralgia treatment because of its effectiveness in controlling pain.

–       Muscle relaxants are also commonly used in combination with Carbamazepine, for relief from trigeminal neuralgia.

These prescription drugs however, come with their share of side-effects.

Surgical Treatment of Trigeminal Neuralgia

Various surgical procedures can be considered if drug treatment proves ineffective, or side-effects are intolerable. Surgical procedures include:

–       Injection of phenol or alcohol in the trigeminal ganglion

–       Radiofrequency thermocoagulation of a branch of the ganglion.

These are low-risk surgical procedures. The disadvantage however, is that they offer only temporary relief, lasting between a few weeks to a few months.

Natural Biotechnology Sarcode Remedies for Trigeminal Neuralgia Treatment

Sarcodes, an inherent therapy of resonance Homeopathy, are essentially bioenergetic impressions of healthy organs, tissues and secretions. Sarcodes are used to teach various systems of the body how to function optimally. Sarcodes have shown astounding results in the treatment of trigeminal neuralgia. Sarcodes of myelin sheath, for e.g. which is the protective covering on nerves, are used to strengthen the patient’s own myelin sheath. In addition, major spinal nerve sarcodes are used to strengthen the nerves in general and trigeminal nerve in particular. Once the nerves have been strengthened, they are not so susceptible to attacks of trigeminal neuralgia anymore. The result? – Much milder and less frequent attacks of trigeminal neuralgia, if any!

Pinched Nerve Pain Causes and Relief With the Drx9000 Spinal Decompression System

For those of us who have suffered from a pinched nerve, we realize exactly how inconvenient and painful it can be. A pinched nerve can occur at almost any part of the body where a nerve is present and may occur as a result of bone or cartilage pressing against the nerve itself.

Although pinched nerve pain is often associated with back problems, it is possible for the pain to occur in many other places in the body as well.

Here are a few of the most common areas where a pinched nerve can occur along with some possible treatment options.

Sciatica

Sciatica is probably one of the best-known cases of a pinched nerve that occurs in the body. It is important to note that sciatica is not a condition in and of itself. It is actually a symptom of another condition in which the sciatic nerve is pinched or compressed. Since the sciatic nerve is quite long — running through the lumbar area down the back of the thigh and towards the feet — there is a greater chance that this nerve can experience some form of disruption. The pain associated with sciatica can range from somewhat mild to crippling and often occurs in the lower back, buttocks or hips. It may also cause tingling that can go the whole way down into the feet.

Carpal Tunnel Syndrome

Another type of pinched nerve which is often found in many individuals is known as carpal tunnel syndrome. This is where the median nerve that travels through your wrist is compressed by the carpal bones. This can be found in individuals as a result of a repetitive stress injury, such as that which is found whenever an individual types frequently. This also can be extremely painful and can cause numbness in the hand and fingers.

Pinched Nerve Treatments

There are several different things that can be done in order to help with a pinched nerve. Sometimes simple bed rest can help or just relieving stress in the afflicted area is all that is needed to reduce or stop the pain.

Another common way to treat the pain is through the use of over-the-counter pain medication or perhaps a prescription medication from your doctor. As long as the pain is not too intense, it can easily be controlled in this matter.

There may also be times when physical therapy is prescribed by your doctor in order to help overcome the problem.

DRX9000 spinal decompression therapy is also becoming a popular form of non-invasive treatment. This type of treatment addresses pinched nerve pain that is often caused by neck and back problems. The DRX9000 spinal decompression system uses a sophisticated and advanced computerized system to administer and monitor a series of oscillating motions that are designed to bring relief and healing to the areas affecting the pinched nerve. This system can often be a viable option to back surgery for relieving pinched nerve pain.

Finally, there may be times when surgery is required in order to alleviate some of the pain of a pinched nerve. Typically surgery is done so that the bone or cartilage which is compressing the nerve can be moved out of the way. Most people view surgery as a treatment of last resort and prefer to explore non-surgical options first.

This article is for informational purposes only and does not replace the advice of your personal healthcare provider. Be sure to consult with your doctor to understand your full set of treatment options and their associated risks.

Botox For Migraine Headaches

Botox for migraine headache is one of the newer advances to come along within the last five years. Many people are familiar with Botox and usually the first question providers get is..”can you get rid of my wrinkles too??” Well..yes and no. Wrinkles in forehead, yes, around the eyes, you have to see the plastic surgeon for that one!

Botox for migraine headache is a form of botulism toxin that is extremely diluted. The injections are given in small amounts, about one tenth of a milliliter, and placed just under the skin, near the nerves that cause pain.

It also causes paralysis of the muscles in the area and is sometimes used for neck spasms known as dystonias, torticollis or “wry neck”. Sometimes this is also a part of the problem with migraine, as chronic spasms in the neck will cause headaches.

So where are the injections? The injections are placed across the forehead, and just between the eyebrows. They are always placed on both sides of the head, no matter on which side your headaches are frequent. After all, you would look pretty funny with lines on one side of your forehead and not the other, right? Injections are not placed past the midline of the eyebrow as that would paralyze the eyebrow (for a few months) and you would not be able to raise them. (There goes that look of surprise!) Additional injections are placed in the temporal muscles on both sides of the temple. If neck pain is a problem, then injections may be placed just under the skin in the neck.

Side effects of Botox injections include irritation at the injection site which may last a few days, and a minute amount of blood at the injection site. If given in the neck, weakness of neck muscles may be noticed but it is usually not severe. The success rate with Botox for migraine has been reported to be as high as 75%, but clinically many see about a 50% success rate.

Injections are given every 2-4 months depending on the patient and how soon the first set begins to wear off. Many insurance companies are beginning to pay for Botox for migraine and even for chronic daily headache, so check with yours to see if you qualify. If you don’t, the cost per session is about one thousand dollars and perhaps more depending on where you live.

So how do you know if you are a candidate for Botox for your headaches? Well you have to have severe headaches that have not responded well to other medications. Also, chronic daily headache or two or three disabling migraines per month would also be a good reason to consider Botox.

Botox does not cure headaches! Like many other medications for headache, Botox offers another medium for headache management. If successful, Botox allows may allow you to reduce, and perhaps eliminate, your other headache medications. Once you are stable, say one or two headaches per month, the Botox can be discontinued.

Talk to your provider, ask for a referral to a headache center to find out more about Botox for migraine.

Sore Throat-Causes-Symptoms and Remedies

A sore throat is a disease primarily located in the area around the tonsils. It is also known as pharyngitis or tonsillitis.The pharynx is the part of the throat that lies between the mouth and the larynx or voice box. It is associated most commonly with the common cold or influenza. While most sore throats heal without complications, in some cases, they develop into a serious illness.

A “sore” throat is discomfort, pain, or scratchiness in the throat. A sore throat often makes it painful to swallow.

Causes for Sore Throat:

• Bacterial infection: Strep throat is the most common bacterial infection. It is mainly caused by streptococcal bacteria. Strep throat can lead to rheumatic fever which can trigger heart valve problems or inflammation of the kidney. Other bacteria can cause sore throats – e.g. gonorrhoea is an example of a sexually transmitted infection.

• Viruses: The majority of sore throats are due to an infection with a virus; there is a large variety of viruses which cause the common types of sore throats. A well-known virus is the Epstein-Barr virus, which causes glandular fever and glandular fever tonsillitis.

• Tonsillitis It is an inflammation of the tonsils. Chronic tonsillitis occurs when there is so much damage to the tonsils. In this condition, the throat is sore most of the time, often accompanied by bad breath

Symptoms for Sore Throat:

• An injury to the back of your mouth may increase the chances of get affected by sore throat.

• Headache may occur in this condition.

• Vomiting may lead to sore throat problem.

• White patches in your throat or on your tonsils

• There will be problem in breathing during sore throat.

• You will have a problem in swallowing the food.s

• Difficulty opening the mouth

• Joint pain may occur due to throat problem.

•  Rash

Home Remedies for Sore Throat:

1) Mix 1 tablespoon pure horseradish, 1 teaspoon honey, and 1 teaspoon ground cloves in a glass of warm water and mix them. Sip this mixture slowly instead of quickly.

2) Mix 1 tablespoon each of honey and lemon juice in 1 cup warm water and sip this mixture slowly. This Home Remedy for Sore Throat is also recommended by most of users.

3) Dissolve 1/2 teaspoon salt in 1/2 cup warm water, and gargle after every three to four hours. This is the Home Remedy for Sore Throat Recommended by most of users.

4) Mix an uncooked egg yolk, one tablespoon of sugar and one tablespoon of brandy or cognac. Swallow after every 15 minutes.

5) Cut an onion, put in a cup with a top, soak with honey (2 centimeters over), cover the top and leave for one hour, swallow 1 spoon of the honey every few hours. This Home Remedy for Sore Throat is suggested by most of users.

6) Cook garlic cloves and dried peeled onion in boiling water until soften and eat.

7) Immerse 1 whole pear in vinegar for one day, grain, filter and drink the liquid.

8) Mix 2 tablespoons of sesame oil and one tablespoon of honey. Take one spoon thrice in a day.

9) Eat betel leaves with liquorice (mulathi) twice or thrice a day. It acts as good home remedy for sore throat.

Severe Sore Throat – Tonsillitus Confusion

What we normal folk (as we would like to believe that we are) call a sore throat is referred to in medical terms as pharyngitis. A sore throat can be quite painful when the patient attempts to swallow food or liquids, the soreness from this can be unbearable – so therefore the sufferer tends to go with out – due to their inability to eat – up to an extent where they starve themselves to avoid the discomfort. And if you enjoy getting up behind a microphone to give a song – forget it – because karaoke is definitely out of the question.

A sore throat is normally caused by a virus infection. Soreness in the throat may not only be the main symptom, you may experience loss of voice, hoarseness, cough, high fever, feeling nauseated, lethargic. At this time you may notice the glands in your neck swelling. A person suffering from a throat infection will do their best in holding back with a coughing bout – purely because of the pain. Over a period of time (a couple of days) the symptoms can worsen but can gradually disappear within seven days. If it persists speak with your doctor.

Depending on the severity (severe) a sore throat is some times thought of by the biggest majority of people as having tonsillitis. What is tonsillitis – well it is an infection of the tonsils at the back of the mouth. It is quite understandable for why the confusion between both (sore throat/tonsillitis) because the symptoms are very similar like sore throat signs. With tonsillitis you may notice at the back of your mouth some pus which resembles white spots which appear to look like enlarged red tonsils. In other words – inflamed and swollen.

There are many available options in the form of medicines to help ease the pain from a sore throat. However, some people opt not to take medication, and endure the pain that comes with the ailment. Drink plenty of fluids if possible – because without realizing it – you can become mildly dehydrated when not quenching the thirst. More suffering and misery can rise from this.
Painkillers like paracetamol and ibuprofen are common pain relievers.

Always consult your doctor first before taking any medication – especially tablets or pills not prescribed by a person in the medical profession. Medicines purchased over the chemist counter can help but make sure you follow the instructions accordingly.

Throat and tonsil infections are nearly always connected to a virus, although some can be caused by bacteria. Medical tests are the only way to decipher which is which. Your doctor may prescribe antibiotics if a bacterium is present, however they do not kill viruses. Bear in mind that not all antibiotics are thought to make much difference when going to work on bacteria. Every one differs greatly in their needs for a cure (treatment) the reason for this is – because we all suffer differently.

Your immune system usually clears these infections within a few days. Antibiotics are known to cause side affects so you need to be aware of this. Trouble controlling the bowels, diarrhoea, rash, and stomach upsets are all ailments of the side affects involved. If in doubt always check it out with a doctor – in case the sore throat could be the beginning of some other illness.

Information on Diabetes Mellitus and Diabetes Insipidus

Diabetes mellitus is a chronic metabolic disorder that prevents the body to utilize glucose completely or partially. It is characterized by raising glucose concentration in the blood and alterations in carbohydrate, protein and fat metabolism. This can be due to failure in the formation of insulin or liberation or action. Since insulin is produced by the ? cells of the islets of Langerhans, any receding in the number of functioning cells will decrease the amount of insulin that can be synthesized.

Many diabetics can produce sufficient insulin but some stimulus to the islets tissue is needed in order that secretion can take place. In the early stages of the disease the Insulin Like Activity (ILA) of the blood is often increased, but most of this insulin appears to be bound to protein and is not available for transport across the cell membrane and action of the cell.

The hormones of the anterior pituitary, adrenal cortex, thyroid and ? cells of the islets of Langerhans are glucogenic, that is, they increase the supply of glucose. Possibly they could increase the demand, decrease the secretion or antagonize and inhibit the action of insulin. The body releases hormones that raise blood glucose levels to provide a quick source of energy for coping with stress. In the stress conditions diabetes mellitus may precipitate with genetic predisposition.

Diabetes Insipidus is a condition that shares some of the symptoms of diabetes mellitus, large urine output, great thirst and sometimes a large appetite. But in diabetes insipidus these are symptoms of a specific injury, not a collection of metabolic disorders. The impaired pituitary gland produces less anti-diuretic hormone, a substance that normally helps the kidneys retain water.

Disclaimer: This article is not meant to provide health advice and is for general information only. Always seek the insights of a qualified health professional before embarking on any health program.

Copyright © Nick Mutt, All Rights Reserved. If you want to use this article on your website or in your ezine, make all the urls (links) active.

Here is an excellent Diabetes supplement that will help you to control blood sugar level. Also know Diet for diabetes for healthy eating. Read information on How to lower blood sugar level to live longer and better.

ISAGENIX® AND DIABETES

Isagenix ProductsIsagenix®  Diabetes-Friendly Pak Suitable for Diabetic Lifestyle.

Isagenix® is committed to answering the health needs of its customers, so, based on guidelines published by the American Heart Association and the American Diabetes Association, our Research and Development team has selected a suite of our existing products that, when used as directed by the pak instructions included, is suitable for the diabetic lifestyle. Tune in as Isagenix Scientific Advisory Board Chair Dr. Dennis Harper shares more details about the incredible Isagenix Diabetes-Friendly Pak and how to use it.

What is diabetes? What causes diabetes?

Diabetes (diabetes mellitus) is classed as a metabolism disorder. Metabolism refers to the way our bodies use digested food for energy and growth. Most of what we eat is broken down into glucose. Glucose is a form of sugar in the blood – it is the principal source of fuel for our bodies.

When our food is digested the glucose makes its way into our bloodstream. Our cells use the glucose for energy and growth. However, glucose cannot enter our cells without insulin being present – insulin makes it possible for our cells to take in the glucose.

Insulin is a hormone that is produced by the pancreas. After eating, the pancreas automatically releases an adequate quantity of insulin to move the glucose present in our blood into the cells, and lowers the blood sugar level.

A person with diabetes has a condition in which the quantity of glucose in the blood is too elevated (hyperglycemia). This is because the body either does not produce enough insulin, produces no insulin, or has cells that do not respond properly to the insulin the pancreas produces. This results in too much glucose building up in the blood. This excess blood glucose eventually passes out of the body in urine. So, even though the blood has plenty of glucose, the cells are not getting it for their essential energy and growth requirements.

There are three main types of diabetes:

Diabetes Type 1 – You produce no insulin at all.
Diabetes Type 2 – You don’t produce enough insulin, or your insulin is not working properly.
Gestational Diabetes – You develop diabetes just during your pregnancy.

(World Health Organization)

Diabetes Types 1 & 2 are chronic medical conditions – this means that they are persistent and perpetual. Gestational Diabetes usually resolves itself after the birth of the child.

Treatment is effective and important

All types of diabetes are treatable, but Type 1 and Type 2 diabetes last a lifetime; there is no known cure. The patient receives regular insulin, which became medically available in 1921. The treatment for a patient with Type 1 is mainly injected insulin, plus some dietary and exercise adherence.

Patients with Type 2 are usually treated with tablets, exercise and a special diet, but sometimes insulin injections are also required.

If diabetes is not adequately controlled the patient has a significantly higher risk of developing complications, such as hypoglycemia, ketoacidosis, and nonketotic hypersosmolar coma. Longer term complications could be cardiovascular disease, retinal damage, chronic kidney failure, nerve damage, poor healing of wounds, gangrene on the feet which may lead to amputation, and erectile dysfunction.

Isagenix®  Diabetes-Friendly Pak Suitable for Diabetic Lifestyle. Isagenix® product line is truly amazing. When you consider the range of products we offer – from meal replacements to vitamins and minerals to the incredible Isagenix® skin care line – the sheer number of products is incredible.

To learn more about the Isagenix® Diabetes Friendly Pak or to Order Isagenix Products, follow links.

These statements have not been evaluated by the Food and Drug Administration. Isagenix® programs and products are not intended to diagnose, treat, cure, or prevent any disease.

Should Obesity be deemed a mental illness in the DSM-V?

Obesity is one of the major public health concerns facing developed and developing countries in the world. Since the turn of the twentieth century, health statistics shows that the prevalence of obesity and overweight has escalated owing to a number of factors including change in lifestyle patterns. In United States, it is estimated that more than a third of the entire population is obese.  It is currently estimated that about 32.2% of United States adults are obese and it is feared that the rates of obesity will escalate in the future going by recent trends.  Obesity has created public health fear because it is related to a number of conditions like cardiovascular disease, diabetes, cancer, high blood pressure, and other life threatening conditions.  It is also estimated that it costs United States between $70 and $100 billion every year to treat various conditions arising as result of obesity.  Obesity also reduces individual life by between 5 to 20 years which means rise in cases of obesity will come with devastating effects on the quality of life and life expectancy in the long run.  Although the government has put in place programs that are aimed at fighting obesity, it is should be noted that the prevalence of obesity continues in the backdrop of these strategies. Evaluating the increased cases of obesity, it has become necessary to reason whether these strategies are effective or is it that they are not reaching the targeted population. Obesity is not a problem to particular groups in the society since individuals across the social demographic divide are affected. Current strategies are targeting all groups in the society but they have done little to mitigate the pandemic. These are just few of the facts on obesity that are agitating the call for immediate measures to supplement the current one which are not very effective in fighting obesity.

Paragraph 2: It is well know that obesity is caused by increase in body weight due to excessive accumulation of fat. This means that current strategies have emphasized on the need to reduce body weight since this will be the only way that obesity can be reduced.  However, most of these interventions have flopped because they advocate for the wrong weight loss strategies.  It has been noted with concerns that most interventions to fight obesity are commercialized with means they are advocated by organizations wishing to reap big from the current pandemic. Standard interventions which are based on promoting weight loss through lifestyle changes with an aim of decreasing excessive food consumption and increase engagement in physical exercise are advocated in few campaigns but they are also difficult to sustain.  Although  there have been major intervention that are encompassed in social and  scientific processes in treating obesity and related conditions, morbidity from obesity and related disorders continue to increase due to failure of current strategies and intervention to sustain weight loss.

Paragraph 3: Failure of the above strategies has forced policy planners to go back to the drawing board and think of other strategies that can effectively deal with the pandemic. Great discrepancies that have been recorded between metabolic treatments of consequence of obesity and recorded failure to reverse obesity show that the condition goes beyond metabolic disorder.  Psychologist are reasoning why individuals, despite understanding the grave consequences that accompany obesity, continue to overindulge while engaging in less physical exercises.   In this regard, recent research has shown that there is psychological aspect of obesity which means that it is related to brain disorders.  This implies that consideration of the mental component of obesity can be an important step in treating obesity and facilitate individual compliance with interventions and minimize the relapse.  This means that obesity should be included in the DSM-V that is used in assessing mental disorders. DSM-IV recognizes the existence of eating disorders which bear mental component. It has been used to assess individuals who are suffering from eating disorders like anorexia and bulimia nervosa and in each case, it outline the symptoms of the conditions.  It recognizes that these disorders have severe mental impairment and comes with adverse effects but it does not recognize obesity although it has devastating mental and psychological consequences.  Recent researches show that a basic feature of obesity is compulsive food consumption that leads to failure to restrain from eating.  This symptom is parallel to DSM-IV criteria for substance abuse and dependence on drug, anorexia and bulimia nervosa, and binge eating, which implies that obesity shares feature with the current DSM-IV conditions.  This means that obesity should be included in DSM-V since it has similar symptomatic characteristics with most conditions that are in the current DSM-IV.

Paragraph 4: The main question for this study will be; should obesity be included in DSM-V? To prove that obesity should be included in the DSM-V, this study will prove that there is mental component in obesity.  First, this study will get a close understand of obesity and its prevalence. Second, the paper will look at the risk factors for obesity and factors that have compounded on society efforts to fight the condition. Third, it will review the conditions in DSM-IV and their characteristics.  Lastly, this paper will prove that obesity should in deed be included in DSM-V in light of facts gathered from the previous sections.

Defining obesity and its prevalence

Paragraph 5: Obesity is defined as increase in body weight. It is a medical condition that normally leads to increased body fat leading to increase in body weight beyond the normal ratio of body weight to height. Obese individuals have more than that 20% of recommended body weight. Obesity is different from being overweight and both can be differentiated through measurement of Body Mass Index which is a ratio of body weight and height squared.  Obesity defines BMI above 30 while individuals with BMI between 25 and 29.9 are considered to be overweight.

Paragraph 6: According to Haines and Neumark-Sztainer (2006) obesity is an eating disorder that is directed by unhealthy eating. They show that obesity has been on the rise in United States and more than two thirds of Americans are overweight with an estimated a third of this population being obese. Over the last three decades, the prevalence of obesity and has increased across the demographic divides with 15% of young between the age of 6 and 19 considered overweight.  Recent data shows that in all states, it was only Colorado that had less than 20% of its population obese. This means that most states in United States have more than 20% of their population obese. About 32 states showed prevalence of more than 25% and six states among these had prevalence more than 30% of the population.  On average, the 2008 data estimated that more than 26% of all adults in United States were obese and future projection show that if nothing is urgently done to reverse the trend, more than 41% of adults in United States will be obese by 2015. The number of obese adults in the country has continued to increase from 19.4% in 1997 to 26.6% in 2007.

Paragraph 7: Government statistics also shows that in the last two decades, the percentage of children between 6 and 11 years has more than tripled from 6.5% to 19.6%.  The percentage of teenagers who are obese has increased from 5% in 1980 to 18.1% in 2008. Obesity pandemic is also creeping in early childhood. Statistics shows that prevalence of obesity among children between 2 and 5 years has increased from 5.0% in 1980 to 12.4% in 2006.These statistics shows that the rate of obesity in the population is on the rise and unless something is done to reverse the trend, quality of life for most Americans will continue to deteriorate due to effects of the pandemic.

Paragraph 9: The main reason for having DSM is to provide criteria that can be used by healthcare professionals and the public in general to fight major conditions that are affecting the public. Although DSM has concentrated on mental disorders alone, it is important to consider that any condition that touches on life brings about mental conditions. This implies that with a condition like obesity that has eaten into the life of most Americans, it is important to include it in DSM-IV criteria due to the accompanying effects.

Risk factors for obesity and compounding social factors

Paragraph 10: There are many factors that lead to obesity.  Obesity results from interaction of different factors which can be related to genetics, culture, physical activities, emotional or psychological factors, gender, age, dieting, and medical problems.

Paragraph 11: Genetic factors have been identified as major factors leading to obesity.  Genes play an important role in the body by regulating body caloric intake and research studies have found out that individuals whose parents are obese are also likely to become obese. Research evidence shows that family history increases the chance of becoming obese by 25-30% although this depends on environmental predisposition. A recent research by Khamsi (2007) revealed that there is defective gene referred to as FTO, which is associated with 70% increase risk of obesity. Individuals with two defective copies of FTO genes were shown to be 3 kg heavier than average.

Paragraph 12: On the other hand, culture has been identified as another major factor that leads to obesity.  It has been identified that people learn how to eat and cook following patterns of family and community culture. While there are few individuals who can break this cycle, it is often postulated that cultural factors have a stronger influence on individuals eating patterns. There are social events which are centered on eating large meals which may encourage eating more than their body needs. The modern culture promotes eating habits that leads to obesity. It has become a common practice for families not to eat in their homes but most people prefer to eat out and mostly in fast food restaurants.  It has also become a modern culture to cook using butter, chocolate and other high caloric foods which are contributing to excessive intake of calories. There is a growing behavior of overeating even when individuals are not hungry owing to increased availability of food.

Paragraph 13: Increased food intake, coupled with physical inactivity has increased the risks for obesity. The modern patterns of life are devoid of chances for physical activities. Most Americans are not engaging in physical activities. The concept of ‘automobility’ means that people are driving even for a shorter distance. As a result people become overweight and it becomes difficult to engage in physical activities due to pain in joints and other problems.

Paragraph 14: There are many emotional and psychological factors that are making people to eat more and become obese. In modern American life, food has been taken as a solace when people are stressed.  Every time one feels down, one turns to food and as a result, they eat more and more without knowing that they are full. In addition, food has always been associated with celebration and this condition is compounded by trend toward consumption of fast food in these celebrations. There are a lot of significant memories that are attached to food even after weight loss and most people are not able to escape the cycles to go back to over eating again.