Give Yourself a Headache

Now I’ve always thought that pain is mostly mental, it just makes sense. I’ve got myself into trouble with that statement before, but here is why I bring it up:

I just finished writing several articles on different Diseases and Illnesses. Topics like: Tinnitus, and Thrush, Lice, Tuberculosis, Porphyria. What is Tinnitus? ricies. Where I’m going with this: After you look at pictures, read and write on these different topics, you start to feel unclean and a bit sick yourself. Why is that?Why is it that some people will faint when they give blood, and others can be surgeons?

A quick question. Do you believe that it is possible to give yourself a headache? Or a sore leg? a headache [http://www.head-ache-pain.com], or a stomach or a pimple or a?

It’s an interesting idea but after writing this article I haven’t been able to stop itching my head:

“Pediculosis, is the technical term for infestation of lice. Lice are parasitic insects that live on the bodies of humans. Often times this condition is known by its more common street names: Head/Pubic/Body lice.”

“Most commonly symptoms of lice infestation include itching. If excessive this itching or scratching of the infested areas can cause sores. These sore area’s can become infected.”

There are some pretty nasty things out there. My suggesion: sensitize and sanitize yourself from as many as them as possible. Don’t get curious and look at the pictures, or read the info. Avoid contact with infected people and washing your hair never went too far astray.

Did You Know The Effects On Ecosystems By Ground Termites

The ecosystem groups all organisms together in their relationship to the environment and to each other. Everything that happens in our environment relates back to everything in one way or another. Whether these events directly or indirectly affect the environment, all things big or small play a part in our ecosystem.

The subterranean termite or as they are some time’s called the ground termite nest underground and can cause devastation if they become over populated. Other types of termites build mounds that rise as far up as twenty feet above ground. The subterranean termites nest underground and the soil becomes rich in nutrients needed for growth of grass, trees, and flowers and in some cases plentiful crops from the farmers.

Effects On Ecosystem By Ground Termites Facts

The effects of ecosystems by ground termites have a positive rating, while receiving a negative review from us as homeowners. The termite contributes to our environment by fertilizing the soil as they clean up dead leaves, deadwood and branches. Although these pests can destroy a home, they can aid in the growth of our environment.

The ground termite aids the deadwood decomposition as they feed and speed up the decomposition process, allowing the soil to receive fertilizer needed for new growth. This process would not happen if not for the subterranean termites. Without the help of the termite, soils would eventually need us to fertilize the land in order to maintain our forests and other beautiful wooded areas.

Farmers have been known to plant their crops nearby a termite mound because the soil is fertilized and crops grow healthy without artificial fertilizer. In the forest or in farmer’s fields, you will see the healthiest growth thanks to the termites. This allows new growth and healthy grow as the decomposition of debris because of termites help with the effects on ecosystems by ground termites.

Termites will live with us and grow in population as they feed and produce daily. While we wish the termite extinct, if this would happen, the effects on ecosystems by ground termites would suffer a great deal. Believe it not, we need these annoying pests to survive and grow. We need the termite to fertilize our land and help with the decomposition process in many areas. Termites are welcome in the wilderness, but as a homeowner, we condemn the termite that will have a devastating affect on our homes and other buildings.

Basal Cell Carcinoma – Ayurvedic Herbal Treatment

Basal Cell Carcinoma (BCC) is the most common skin cancer in humans. BCC tumors typically appear on sun exposed skin, are slow growing, and rarely metastasize. The clinical presentation of this disease includes the nodular, cystic, pigmented, sclerosing and superficial types of BCC. Environmental factors are believed to predispose to this condition and include a prolonged and sustained exposure to sunlight, artificial ultraviolet light, ionizing radiation, arsenic exposure and a contaminated water source. Immunosuppression is also believed to be one of its causes. BCC is seen mostly in old age; and men are affected twice as often as women.

The conventional treatment of BCC consists of removal of the tumor using either surgery or local applications. This usually succeeds in eradicating the tumor. However, there is a 35% chance of developing another tumor within 3 years, and a 50% chance of developing another tumor within 5 years. Therefore, regular and periodic screening of patients is important. Ayurvedic treatment is recommended in patients with a documented recurrence, or in patients having large or deeply infiltrating tumors which have a higher chance of spreading to other parts of the body. In such situations, Ayurvedic treatment is aimed at treating the local tumor and preventing or controlling the spread of the tumor cells. Medicines like Triphala-Guggulu, Arogya-Vardhini, Chandraprabha-Vati, Gandhak-Rasayan and Sukshma-Triphala are given in high doses to help eradicate the local tumor. Local applications of medicated pastes can be made using medicines like Triphala (Three fruits), Trikatu (Three pungent herbs), Manjishtha (Rubia cordifolia), Saariva (Hemidesmus indicus), Haridra (Curcuma longa) and Yav-Kshar. Some physicians recommend localized blood-letting using leeches in order to achieve a faster therapeutic response.

In order to prevent the spread of the tumor cells to other parts of the body, medicines like Kachnaar-Guggulu, Maha-Manjishthadi-Qadha, Saarivasav, Gokshuradi-Guggulu and Punarnavadi-Guggulu are used. Immuno-modulating therapy is used to help suppress the tumor and to destroy tumor cells present in the blood and lymph. This is done using medicines like Ashwagandha (Withania somnifera), Shatavari (Asparagus racemosus), Tulsi (Ocimum sanctum), Bala (Sida cordifolia), Naagbala (Grewia hirsuta), Yashtimadhuk (Glycerrhiza glabra), Suvarna-Malini-Vasant, Suvarna-Bhasma and Heerak-Bhasma.

Regular and prolonged follow-up is essential to ensure that the cancer has responded adequately to treatment, and also to rule out a recurrence of the condition. Patients and other people prone to BCC are advised to avoid possible potentiating factors like sun exposure, radiation and tanning beds. The regular use of protective clothing and the application of sunscreen are recommended prior to sun exposure.

Tachypnea: Rapid, Shallow Breathing

Tachypnea is a fast, shallow breathing symptom with which a patient has more than twenty breaths per minute. This symptom has many possible causes. Tachypnea is, in most cases, a medical emergency. Indeed, the patient receives less oxygen, and in many cases, death is possible. Treatment depends on the underlying cause of tachypnea but the faster a patient receives treatment, the better is the prognosis.

Content of the article:

· Synonyms of Tachypnea

· Tachypnea and hyperventilation

· Etiology of Tachypnea: Rapid, shallow breathing – Common problem in the lungs

· Symptoms of a patient with tachypnea

· Diagnostic studies in patients with tachypnea

· Treatment of patients with tachypnea

· Complications in patients with tachypnea

Synonyms of Tachypnea

Tachypnea is also known as:

· Respiratory rate – rapid and shallow

· Breathing – rapid and shallow

· Chest breathing

· Rapid shallow breathing

· Thoracic breathing

Tachypnea and hyperventilation

When a patient gets hyperventilation, he or she breathes quickly but deeply unlike one with Tachypnea whose breathing is shallow. Carbon dioxide in the lungs causes hyperventilation and Tachypnea is caused by carbon dioxide in the blood.

Etiology of Tachypnea: Rapid, shallow breathing – Common problem in the lungs

A shallow, rapid breathing has many potential medical causes, such as: anxiety, asthma, chronic obstructive pulmonary disease (COPD) and other chronic lung diseases, a blood clot in an artery in the lungs, an infection of the smallest airways of the lungs in children (bronchiolitis ), hyperventilation, pulmonary edema, pneumonia, heart failure, suffocation and transient tachypnea of the newborn patient… In newborn patients, the Tachypnea (40-60 breaths per minute) is often transient (usually less than 24 to 48 hours). This is especially common in babies who are born prematurely, babies who have come up with a caesarean and baby whose mother has diabetes.

Symptoms of a patient with tachypnea

The patient has a blue or gray skin, nails, lips, gums, or the area around the eyes (cyanosis). Also, the chest moves in with each breath. The patient also has chest pain, fever, and breathing is difficult. Dizziness may also occur, as well as insomnia at night and sleepiness and fatigue at daytime. Sometimes the symptoms may aggravate. These symptoms emphasize a medical emergency. A patient must, in other words as soon as possible, seek for professional medical help.

Diagnostic studies in patients with Tachypnea

Physical examination

The doctor will perform a thorough physical examination of the patient. He examines the heart, the lungs, the abdomen and the head of the patient.

Diagnostic tests

Possible tests may include a CT scan of the chest, an electrocardiogram (ECG), a chest X-ray, and a ventilation / perfusion scan of the lungs.

Treatment of patients with tachypnea

The treatment will depend on the underlying cause of the rapid breathing. Oxygen therapy is needed when the amount of oxygen is low and also inhalation therapy. Sprays are needed in an attack of asthma or COPD to open the airways. Also, corticosteroid can help here. Antibiotics help with pneumonia bacteria. If a patient has tachypnea anxiety, there is medication available for this purpose. For some (anxiety) patients, yoga exercises are good to ease the shallow breathing.

Complications in patients with Tachypnea

When the patient has a severe shallow breathing, disorientation, delirium, confusion, and even seizures are possible.

Why Choose Chest Waders?

For the most versatile hunting and fishing experience, chest waders are definitely the most versatile option for protection from water under a wide variety of circumstances. They are by far the most widely used gear for protecting hunters and fishermen while out in the field. The name is derived from the fact that this type of wader rides up under the arm pits and is held up by a pair of shoulder straps.

Chest waders are made of the same varieties of breathable, waterproof materials as guide pants and hip waders. They allow the hunter or fisherman to completely submerge themselves up to the chest in water. This includes a wide variety of waters from ice cold streams to deep, muck-filled duck sloughs.

They are also an excellent choice for float tubing your favorite river. Oddly enough, several varieties are flexible enough to roll them down to the waist to wear them in much the same way you might wear guide pants, an option for the fisherman who is torn between a chest wader or guide pants. As a duck hunter, I know that hunters need to move as conditions dictate. You might be ankle-deep in flooded timber in the morning, but over your hips in the cattails when the wind changes in the afternoon. You don’t ever want to be in a situation where you can’t get where you need to be.

When the trek brings the fisherman to a very cold and deep river, there is no other option than a chest wader composed of one of several varieties of neoprene wader. Neoprene is a foamed material containing gas-filled cells that have excellent insulating properties. Neoprene is not nearly as forgiving as the much lighter breathable materials, but when you are standing up to your ribs in a cold swamp with the snow flying around your head, you want the nice cozy warmth of neoprene wrapped all the way up to your armpits.

So if you find yourself torn between wader varieties, the chest wader is the most versatile choice for both hunters and fishermen. Your only major decision after choosing the type of wader is to consider the materials you prefer.

Effective Treatment For Bronchitis Symptoms

Bronchitis is a kind of respiratory disease and in order to ward off the possibility of any sort of complications, medical treatment is required.

Bronchitis symptoms would alert you to rush to a doctor immediately. Bronchitis symptoms treatment would actually depend on the conclusion drawn by your doctor regarding the type of bronchitis you have.

For instance, in case of fever, you may be advised to have aspirin. Sometimes, certain over-the-counter (non-prescription) medicines for cough may provide great relief. These medicines are great for relieving the soreness resulting from uncontrolled coughing.

Cough recall is the usual and most practiced method of getting rid of excess amount of phlegm and foreign substances from the lungs. The duty of the physician would restrict to alleviating bronchitis symptoms as there is no specific discourse available to address bronchitis resulted from viruses.

For bronchitis symptoms such as wheezing, you may be advised to try a bronchodilator drug. This is usually takes via inhalation. For patients who are coughing too much, a cough suppressant may act as a medical boon.

A secondary bacterial infection is indicated by greenish-yellow sputum. Here, you may require an antibiotic.

Chronic bronchitis symptoms are usually considered serious problem. You need to pay attention in this case. Doctors advise to stop smoking under these conditions. Another precaution you need to take is to avoid other people who smoke. Also avoid people suffering from cold. You must also avoid crowds because entering a crowd is like submitting yourself to someone who has cold. It is quite like that a mere cold (to others) may result into a very serious problem to you.

In case, you are in a job that requires you to visit polluted or harsh breathing areas, change the job.

In order to relocate the cough, you need to look for a drier and warmer climate you should abstain from living in cold and damp places. Reoccurrence of acute bronchitis for several times should not be taken lightly. Inform your doctor immediately about repeated acute bronchitis symptoms. He will definitely find the exact cause of the recurrence. Repeated attacks of acute bronchitis symptoms are dangerous as these result in injurious lung scarring.

As mentioned earlier, taking aspirin for fever is O.K. You may also take over the counter cough medicines available at your nearer medical store for relief from cough. However, if you feel shortness of breath, you need to call for your doctor immediately.

Here, your doctor would prescribe certain effective antibiotics. These are helpful especially for cases where the disease has evolved from a bacterial infection. Antibiotics are also prescribed in order to prevent the hazard of facing the infection for the second time.

Chronic bronchitis is dangerous. The symptoms may sometimes affect the heart. In case, you think that you may be having pulmonary problems, you need to let the doctor know about this. He may prescribe you certain important tests in order to analyze the possibility of any serious problem. He would also determine whether you are getting proper treatment for chronic bronchitis symptoms.

How To Stop Nose Bleeds, Is Cauterization A Permanent Solution To Nose Bleeds?

Congratulations on taking the first step towards eliminating Nosebleeds from your life by FINDING THIS ARTICLE. I do not occur nosebleeds frequently but had faced severe two events only and still remember the 2nd one that needs me to cauterize the vein inside my right nostril.

I think it’s not necessary to write regarding the cause of nose bleeds. Although most of the doctors suggest dislocation of septum i,e bone at the small separation between the two nostrils is a cause of nosebleed and only the permanent solution for stopping nose bleed is a major operation for correcting this bone, as per my findings through a study of different informations, nosebleeds can be controlled with the following simple steps

During the Nose Bleed

Thumbs Up Method

1. Stay calm, slowly taking deep breaths.

2. With your hand (same hand as the bleeding nostril,) make a ‘thumbs up’ sign.

3. Press your thumb against your nostril’s side, not so hard that it hurts, but firmly

enough to flatten the nostril.

4. Stay still, leaning forward slightly.

5. Stay in place for 5-10 minutes, breathing normally.

6. Slowly release the pressure; it may feel a bit weird as the blood flows back into your

nasal vessels.

Pinching Method

1. Pinch your nose just below the bridge. There is a vein just below the nose bone that is the culprit in 99% of bloody noses. Pinching puts pressure on it, which arrests the bleeding and speeds the clotting process.

2. Find a bathroom as you continue pinching. Now that you have slowed the bleeding by pinching, you should find a bathroom where you can clean up once the bleeding has stopped.

3. Keep applying pressure for at least 5 minutes at a time. Don’t check to see if it is still bleeding over this period of time as it is important to keep continuous pressure. After this period of time let go briefly to see if the bleeding has stopped. If not, give it another 5 minutes. (This is also a good time to quickly wash any blood off your hands and get a paper towel or toilet paper to pinch with so that blood gets on the paper and not your hand.) If it is, continue pinching. Don’t check every 30 seconds, as the key is constant pressure.

Pressure Method

1. Find the two very slight depressions on the back of the skull, approximately four finger-widths from the base of the skull (in line with the tops of the ears) and four finger-widths from the mid-line of the back of the skull. If you had eyes in the back of your head, this is where they would be.

2. Press the spots firmly, but gently, and if you have connected correctly, the bleeding should stop immediately. Keep up the pressure for about five minutes and then release. If the bleeding starts again, just repeat the process, but hold it longer: you may have to keep up the pressure for ten to fifteen minutes to stop it completely.

Upper Lip Method

1. Roll up a piece of gauze or tissue into a “cigar shape” approximately 2 inches long and a little thicker than a pencil. Folding it into a small, thick square also works well.

2. Wedge the tissue under your upper lip where it’s tight and close your lip over it.

3. Apply light pressure by compressing your lip over the wad. Tilt your head forward.

Remedies

1. The green leafy vegetables are a source of Vitamin K, which is needed in trace amounts to help blood to clot. This Vitamin is needed in such small amounts that it’s difficult to find it made in tablets all by itself. You need to eat green leafy vegetables regularly.

2. Taking ONE 1000 milligram Vitamin C tablet and ONE cayenne pepper capsule each day with your largest meal, and stay at that dose until you feel comfortable and have regular, normal bowel movements. Remember to drink lots of water at least 20 minutes before your meal, and also after about an hour after your meal. It’s best not to drink a lot of water with your meal, as this will dilute your digestive juices and make digestion more difficult–unless, of course, you are severely dehydrated.

Summary

It is not common practice for doctors to check patients with a history of epistaxis for genetic disorders, vitamin K deficiencies and/or blood vessel constriction etc. However, these would all be highly logical possible causes to consider and evaluate in patients. Otherwise it will be an undiagnosed nose bleeds.

(The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease. By:-Thomas A Edison)

Growing Taller Exercises – Jump Rope And Growing Taller – How Skipping Can Help You Grow Taller

There are plenty of growing taller exercises and one of them which aren’t very popular but are in fact really effective is the method of using a jump rope to grow taller… yes I’m talking about skipping. Skipping can be a very effective method to help you up the height ladder but why is this you ask? Well read on and find out why you should get yourself a jump rope today for growing taller exercises if you want to get taller.

Skipping isn’t something that people would think would help them increase their height. When you think of skipping in fact you probably think of a school playground and kids hopping around or maybe even boxers in the gym trying to improve their cardio system with their jump ropes however there is much more to it than that.

How It Works

It is a very simple concept, by going through this motion numerous times you will start to create micro fractures in your skin bones. After a while these will be filled as they heal and they will come back stronger, denser, and more importantly LONGER which is what you really want to be looking for.

Do not push yourself when doing this until you are sick or until your legs are in a lot of pain as this will just have you injured if you continue at this rate. You will want to start slow and take rest days in between and then slowly you want to start pushing yourself trying to beat your previous record that you may have got before.

By pushing yourself a little bit more you will be able to create new micro fractures which will heal and get longer and stronger but it is essential that you make sure that you take rest days as too much pushing can lead to injury which is not something that you want as it will set you back a few days where you could be going on to increase your height.

Combing It With A Routine

Alone this method may take a while for you to notice results however you can combine it with a lot of other methods such as stretches to grow taller, other exercises to grow taller, a diet and a lot more.

Having a routine would be very effective when it comes down to getting taller, a routine will speed up the whole process than just going down one route, as they say you don’t want to put all your eggs in one basket.

Thankfully there are plenty of other methods out there that you can use at home to help you to increase your height and you can go onto combing all of these together to create yourself a small routine.

For example you could wake up with some stretches, go through some growing taller exercises later during the day and then finish off with some stretches before bed all whilst focusing on a diet that will focus on your target. This is something that will be effective as you are using stretches and dieting together with it all.

Athletes Use Portable Hyperbaric Oxygen Chambers For Fast Fitness Results

As portable hyperbaric oxygen chambers get a better reputation in the medical world, they also are becoming more widely used for those who simply want to be more healthy or fit. Athletes who have access to the chambers have made hyperbaric oxygen therapy (HBOT) a sort of trend.

Pro football star Darren Sharper has his own chamber and uses it in his own home. His is portable, so he is able to take it along when his teach travels. The set includes the foldable, zip-up chamber and an attached generator that pumps pure oxygen into it. Sharper has said that he uses it daily for between two and three hours and feels better because of it, more relaxed and more rested each morning. The athlete first used the hyperbaric chamber because of a knee injury, and has continued the HBOT ever since.

Hyperbaric therapy increases the ability of red blood cells and plasma to carry oxygen to the tissue in the body, healing any ruptures or tears and generally restoring the body to excellent condition very quickly. After time, muscle can be repaired and the brain will function better. Some athletes also use the hyperbaric chamber as an alternative to altitude training or blood replacement.

Lance Armstrong, the seven-time Tour de France winner who recently made a comeback and placed third in another Tour, has also used a portable hyperbaric oxygen chamber. Many cyclists train at higher altitudes, where there is less oxygen, so that the body feels like it has more than enough at regular elevations. Sometimes this makes an athlete’s lung capacity greater, as well as simply enabling the red blood cells to carry more oxygen. Other athletes get blood taken out of their body and train with this deficiency, so that the body is used to working with less blood and oxygen, then get the blood replaced before a race or game. There are medications that replenish the oxygen supply in the blood, but these drugs are banned from most events, and hyperbaric chambers remain one of the most effective and well-regarded methods for athletic training.

Armstrong’s career has been fraught with battles against cancer, but though doctors have experimented with hyperbaric chambers for cancer treatment, most experts agree that Armstrong was using the chamber for athletic reasons. HBOT has also delivered positive results for patients of strokes, autism, cerebral palsy, and many other diseases and afflictions. Not all doctors are ready to endorse HBOT in all cases, just because its effects could be different for any patient. But as its success rate climbs higher and higher, doctors are more readily recommending it for patients with diseases as well as athletes and anyone interested.

Do as much research as possible before investing in one of these. The hyperbaric chamber could be perfect for you as an athlete, or just as someone who wants to maximize healthiness.

Ten Ways Leaders Overcome Analysis Paralysis

One of the biggest challenges leaders have is to ensure that preparation and analysis add real value and provide the framework for action. The biggest enemy to action is analysis paralysis.

One of the most difficult habits to break is the habit of continuing to create and analyze choices long after decisive action should have taken place. Analysis paralysis is the graveyard of many organizations and careers. It's procrastination – on both the organizational and individual level – caused by fear of failure, fear of consequences, fear of not being thorough, fear of making a mistake.

Analysis paralysis results in too many choices. Too many choices drag down the energy, the time and the effort of all those who are part of the issue.

Here are ten ways leaders have ensured they and their organizations do not fall victim to analysis paralysis.

1 – Define success as the result of a cumulative process – built on a cycle of action, evaluation, improvement – then action, evaluation, improvement. Nothing creates fear – and analysis paralysis – quicker than to be told that whatever decision is made will result in failure or success – with no other possible outcomes. Creating a either / or success or failure situation will almost certainly result in careful – read lengthy – analysis and preparation. Define ideal outcomes and solutions and use them as guidelines in setting goals – just do not let the ideal be the only acceptable solution.

2 – The best course of action in the vast majority of situations is the one that "meets requirements." Save the "best possible" course of action for the relatively few high value, high impact decisions.

3 -Impose constraints – money, time, resources – that keep the focus on action, not on preparation and analysis

4 – Set up a ready, fire, aim behavior. Insist on enough information to act with a reasonable degree of confidence in the decision, and establish a measuring mechanism to allow for changes as they become apparent.

5 – Realize that simplicity and limited choices can be very liberating – they create a structure that allows for action, rather than a constant evaluation of ever increasing alternatives. Complexity is the partner of analysis paralysis.

6 – Value attitudes that place a premium on information – but information as a means to act, not as an end in itself.

7 – Insist on action at every step. Direction and priorities are created through goal setting. Accomplishment is the benchmark of success – not activity.

8 – Accept that mistakes are part of improvement. The biggest enemy of innovation and development is often the fear of making a mistake – or of being blamed for a mistake. A problem solving climate accepts mistakes as part of the process of improvement. It punishes non risk taking behavior, as well as behavior to cover up mistakes. "If you're not making mistakes you're not accomplishing anything" is a belief in problem solving organizations.

9 – Adopt a "Principle of Good Enough" (POGE) attitude toward action. Software developers use POGE to act – knowing that the only way to implement and improve is to throw the switch – go live – measure the results and improve – and then do it all over again. Adjustments based on the results of action are an accepted part of the process – not an indication of failure.

10 – Keep progress reviews simple and frequent and highly structured. It's amazing how even the most worthy goal can become hostage to analysis paralysis – if it's left unattended by people in a position to see the bigger picture. Make course corrections a routine part of the process – an accepted and vital part of meeting goals. A question that should be asked in every progress review should be "" What course corrections do we have to make to meet this goal? "

Take an inventory – of yourself and of your organization. Ask yourself if the conditions for analysis paralysis exist – or if analysis paralysis is already hard at work confusing activity with accomplishment. Then use the suggestions from the leaders who contributed to this article to increase your personal and organizational competitive advantage.

Removing the Gallbladder Surgically

Removing the gallbladder surgically is an operation that takes from one to two hours, is relatively cheap and safe, and for generations has given acceptably good results in patients who have suffered from biliary colic due to gallstones. Patients have to be in hospital for three to seven days, and are off work for two to six weeks after their surgery.

Pain absence from work and patients' fear of "major surgery" have over the last few years prompted surgeons to search for alternatives to the standard procedure. The talking point among surgeons today is Laparascopic Cholecystectomy – a tecpnique that came into vogue in the nineteen-eighties. Here, once the patient is under anaesthesia, the Laparascope, a long tube, somewhat like a telescope, is introduced into the abdomen through the navel and then connected to a video monitor. Through three special- tubes, 5 to 7 mm. in diameter that are inserted into the upper abdomen, special long shafted instruments are introduced inside, and the surgeon dissects, clips and removes the gallbladder – all the time watching the "target area" on the video monitor.

The technique is said to give minimal post-operative pain, and patients are able to get about easily after surgery, which makes it possible to return to work, or even sport, within a few days. One or two provisos exist – previous abdominal surgery, for example, precludes the use of this technique. Thus a whole series of alternatives to standard gallbladder surgery has evolved for the patient with gallstone problems. Although most of these techniques are new, and need to prove themselves with time, it would not be wrong to say that by the dawn of the 21st century, standard cholecystectomy will no longer be as commonly performed as it is today.

Uncover Sciatica Causes

Sciatica Causes

Many different sciatica causes exist. Sciatica, a symptom of a diagnosed condition, can stem from a number of ailments. Though sciatica leg pain is the most common complaint, not all individuals will experience it. For example, in piriformis syndrome, discomfort and pain are most often felt in the buttocks and hip area. Sometimes in the case of a herniated disc, the pain can occur solely in the foot or calf. Manifestations of sciatica can vary just as the number of sciatica causes.

A Slipped Disc

One of the most common of sciatica causes is a herniated disc. Sometimes referred to as a slipped disc, bulging disc or ruptured disc, this condition occurs when the cushioned spinal disc loses water content, becomes brittle and shifts in between the vertebrae. When the disc begins to press against the nerve roots in the lower back region, the sciatic nerve can become irritated and sciatica can occur. Depending on the location of the disc, different symptoms may occur with sciatica leg pain being the most frequently reported. The disc degeneration leading to the herniated disc can be brought on by injury or simply by age.

Narrowing of the Spinal Canal

Spinal stenosis, refers to a narrowing within the spinal canal. Usually brought on by age and arthritic conditions, the ligaments can begin to calcify and thicken and bones within the spine can also enlarge. Both of these situations reduce the amount of space within the spinal canal, creating pressure against the nerve roots. When this happens in the lower part of the spine, the sciatic nerve can become compressed, creating sciatica leg pain and other symptoms such as numbness and tingling in the back of the thigh.

Fractures in the Spine

Beginning as a fractured vertebrae in the lower spinal area, spondylolisthesis occurs when one vertebrae has slipped over another. This can be brought on in a number of ways. Sometimes spondylolisthesis occurs as a result of another diagnosed condition. For instance, osteoporosis, a disease that leads to loss of bone density, can cause fractures in the spine, leading to spondylolisthesis. This is one of the examples of sciatica causes that may require surgery.

Piriformis Syndrome

Often overlooked as one of the sciatica causes, this condition involves irritation or tightness of the piriformis muscle. Located in the outside of the hip area and reaching across the lower buttock area, this muscle is responsible for the rotation of the hip while the leg is extended. When this muscle becomes inflamed usually due to overuse or inflexibility of the surrounding muscles, sciatica leg pain can result due to the pressure of the muscle pressing the sciatic nerve against bone.

Other Sciatica Causes

In rarer instances, other sciatica causes such as infection and cancer can be responsible for sciatica. Cases have been reported where a bacterial infection caused disc degeneration and ultimately, sciatica. Tumors, growing in the spinal cord, spinal canal or in the membranes can also place pressure against the nerve roots as the tumors increase in size.

When treating sciatica, it can be extremely helpful to determine which of many sciatica causes is responsible. Once the diagnosis is made, specific treatments can be designed to target the root cause of the sciatica episode.

The Thyroid Gland and Degenerative Diseases

Did you know that there is a common denominator between low thyroid function better known as hypothyroidism and degenerative diseases? There is another common denominator between low adrenal function secondary to stress and degenerative diseases. Now who of us in this day and age do not have stress of one form or another in our lives.

Dr. Barnes a noted researcher in thyroid dysfunction stated that 40% of the population has low thyroid function. There are many potential reasons for being hypothyroid. Mercury from fillings in the mouth may have an adverse effect and contribute to the thyroids under-functioning. Chlorine and fluoride, often found in ordinary drinking water, poison the thyroid gland.

Bromine which is commonly found in breads and soft drinks like Gatorade and Mountain Dew, is harmful not only to ones thyroid function but also may contribute to aggressive behavior and gastrointestinal problems. Chlorine, fluoride and bromine are all in the same chemical family (halogens) as iodine that is the key mineral for the thyroid. They compete with iodine and impair hormone production. Did you know that there is a common denominator between low thyroid function better known as hypothyroidism and degenerative diseases? There is another common denominator between low adrenal function secondary to stress and degenerative diseases. Now who of us in this day and age do not have stress of one form or another in our lives.

It is amazing how many health problems, as well as weight management issues, can be traced to an improperly functioning thyroid gland. Here is a easy test to check the functioning of your thyroid:Take your underarm temperature on five different mornings. Do this by placing a thermometer at your bedside tonight. Place it under your arm for 10 minutes immediately upon awakening (before moving around or getting out of bed). Do this for 5 consecutive days. If the average temperature is under 97.8, consider finding a doctor that understands how the thyroid gland functions in a deficiency state and get treatment. A healthy thyroid can make a HUGE difference in your life!

The list of symptoms that can result from an abnormally functioning thyroid gland is vast. Here are some of the symptoms related to a under functioning thyroid gland: Constant fatigue; muscles stiffness in the a.m., morning dizziness/nausea, motion sickness, wrinkly/puffy skin, heart misses beats, night coughs/cramps, pulse under 65,outer 1/3 eyebrows thin, bothered by cold weather, lack of concentration, ringing in ears, sleeplessness, poor memory, lack of motivation, morning headaches, heart pounds after sleeping, neuralgia, constipation, difficulty losing weight, and cold sweats.

To support your thyroid, get plenty of iodine, trace minerals, calcium and magnesium. It is also very important to reduce your stress levels. Good ways to do that are via exercise, yoga, meditation, listening to your favorite type of music and basically taking time to take care of yourself on a daily basis. A good healthy diet consisting of fresh vegetables, a good source of protein, and a limited amount of grains.

Frozen Shoulder: Thawing the Sticky Mystery of Adhesive Capsulitis

Frozen Shoulder and Adhesive Capsulitis are both conditions that ultimately involve significant stiffness and restriction in both active and passive motion of the shoulder. The diagnosis is clinical, meaning it is primarily made based on the history and examination, and when there is not a clear initiating factor, idiopathic, it is reached when all other possibilities are excluded. The picture isn’t so simple, however, because there are literally hundreds of disorders or other diagnoses that can contribute or initiate the cascade of events that lead to a frozen shoulder. A frozen shoulder can also coexist with other entities, meaning patients may present with both a rotator cuff tear and frozen shoulder, for example.

It’s perplexing and murky nature was first recognized by Dr. Codman who aptly termed frozen shoulder as “difficult to define, difficult to treat and difficult to explain from the point of view of pathology.” In 1945, Neviaser coined the term adhesive capsulitis and described the pathological lesion of fibrosis, inflammation, and capsular contracture responsible for idiopathic frozen shoulder. Others have supported this description – histological analysis consistently demonstrates chronic nonspecific inflammation with synovial hyperplasia, proliferation of vessels and fibroblasts, and increased amount of extracellular matrix. Some have also highlighted the generally reduced level of synovial fluid, joint lubrication, found at different stages of adhesive capsulitis. To date, despite nearly a century of research, the root cause of frozen shoulder and adhesive capsulitis remain unknown.

Several researchers have suggested the likelihood that there may be an autoimmune and/or genetic component, whereby patients with a predilection or susceptibility to developing a frozen shoulder, only do so when a particular environmental or systemic trigger is encountered-setting in motion a complex cascade of events that ultimately lead to adhesive capsulitis (frozen shoulder). This may help explain why patients with systemic diseases involving the endocrine system (hormones), such as diabetes and thyroid disorders, are at much greater risk for developing frozen shoulder.

SYMPTOMS

Gradual onset of pain at the lateral part of the arm (deltoid insertion, rather than at the shoulder joint, is the most common presenting complaint. Typically the pain is achy at rest and much sharper with movement, especially sudden or high-speed movements. Pain at night with sleep disturbance is also a very common complaint. With more advanced stages of adhesive capsulitis, shoulder stiffness or restricted range of motion becomes more apparent-inability to fasten bra behind back, reach back for seatbelt, or tuck in shirt, for example. These are understandably rather nonspecific complaints, meaning many other causes of shoulder pain can also present with these complaints, so the presence of one or more of these doesn’t mean you have a frozen shoulder-there may be other causes or you may have several causes all at once.

DIAGNOSIS

The diagnosis of frozen shoulder is clinical, meaning your doctor will perform a detailed evaluation to provide you with a comprehensive diagnosis. For instance, in our practice, the majority of patients referred with persistent or severe frozen shoulder have other contributing diagnoses, such as a pinched nerve, rotator cuff tear, labrum tear, etc.

TREATMENT

The goals of treatment are ultimately to reverse the inflammation, restore the elasticity, motion, and function of the shoulder, and most importantly remove the pain. Many different treatments have been recommended over the years, with varying levels of success.

Oral anti-inflammatory drugs such as NSAIDs (aspirin, ibuprofen, indomethacin, naproxen, etc.) have not been shown to be very effective in helping restore motion, but are commonly used to help with temporary pain relief. The studies looking at NSAIDs for frozen shoulder also report that side effects such as nausea are common with these drugs.

Oral anti-inflammatory steroids such as prednisone or a Medrol Dosepak show a more rapid relief of pain in studies, but unfortunately this effect is short-lived. The potential for systemic side effects, such as aseptic necrosis, and the inconvenience of daily dosing are disadvantages of systemic treatment.

Intra-articular steroid injections have been extensively studied and have been shown to offer a rapid improvement in pain with benefit for motion and function more likely in the early phases of adhesive capsulitis, before severe motion restriction is present.

Physical therapy is commonly prescribed for frozen shoulder, but most studies seem to indicate the best physical therapy involves using low grade mobilization techniques with gentle stretching within the patient’s pain threshold rather than high grade mobilization techniques and strenuous active and passive stretching beyond the pain threshold. This gentle form of physiotherapy has sometimes been called “benign neglect” in that the goal is to promote gradual restoration of active and passive motion and function rather than the more typical “no pain no gain” protocols commonly seen. In our experience, significant muscular spasm and changes in muscle-tendon flexibility are also present in these patients and low-grade mobilization techniques, including newer methods like proprioceptive neuromuscular facilitation (PNF), active stretch, and co-contraction, can help improve proprioception and muscular relaxation more effectively than the strenuous high-grade techniques.

Frozen Shoulder refractory to these conservative measures has historically been treated with manipulation under anesthesia. Complications of this technique have been reported including humeral fracture, rotator cuff rupture, labrum tears, and injury to the biceps tendon.

PREFERRED APPROACH

Our preferred approach for the early stages of adhesive capsulitis is an intra-articular steroid injection combined with a gentle shoulder mobilization program. For patients without concurrent pathology or other mitigating factor, this approach provides a high level of satisfaction and success for both the patient and physician.

Refractory frozen shoulder and adhesive capsulitis are best addressed in our hands with an all-arthroscopic approach. As many of these patients have concurrent or contributing pathology, we prefer the anatomic precision and accuracy of an arthroscopic capsulotomy, which also allows us to evaluate and treat concurrent pathology. After the arthroscopic procedure patients are immediately started on a gentle mobilization program to overcome the significant muscular contraction/spasm that is typically present. This low slow approach to regaining mobility still requires significant patient commitment, but ultimately provides our patients with a predictable path to pain relief and functional restoration.

CONCLUSION

Frozen shoulder and adhesive capsulitis are still without a clear known cause. Research continues on agents, such as hyaluronic acid for example, to short circuit the inflammatory cascade, inhibit scar deposition and enhance capsular remodeling but none have yet been approved for clinical use. Treatment starts with first clearly establishing a comprehensive diagnosis followed by a treatment regimen tailored to each patient. Arthroscopic capsulotomy, in our hands, has become the treatment of choice for patients with refractory severe adhesive capsulitis and frozen shoulder. More information is available at TheShoulderCenter.com

Constant Sore Throats

Question:

For as long as I can remember I have suffered from sore throats throughout the year. I now suffer from severe throat infections every four to six weeks, which leave me exhausted. Sometimes I also have horrible catarrh. My doctor will no longer give me antibiotics because she feels that I am becoming immune to them. I am on the waiting list for the homoeopathic hospital but it may be two years before someone can see me. I take garlic and cod-liver oil every day. Can you help?

Answer:

Chronic sore throats are not uncommon. In my experience, most patients with this problem have excess mucus accumulation in the sinuses, which drips into the throat and kick-stare the problem. This ‘postnasal drip’, as it is known, is often very acidic and sometimes infected. The acidic medium affects the lining of the throat and makes it sore and painful. If the mucus is infected, the bacteria colonise the throat and tonsils, exacerbating the inflammation so that swallowing becomes difficult.

The mucus accumulation in the sinuses is caused by chronic sinusitis, due to infection and/or allergy (to dust mites or another common allergen). Very often, chronic constipation causes excess mucus discharge in the sinuses: if the toxins are not eliminated by the bowels, they are often reabsorbed and discharged into the sinuses. The majority of people with chronic constipation have mild to moderate sinus problems, also frontal headaches where the sinuses are.

The postnasal drip causes another distressing phenomenon. As the mucus drips into the throat, the person swallows automatically, so that the mucus doesn’t go into the windpipe and trigger a coughing fit The constant swallowing injures the muscles and ligaments in the floor of the mouth and throat. The ligaments most susceptible to being affected are those that suspend the voice box. As you swallow, the Adam’s apple (which houses the voice apparatus) goes up and down because of the swallowing reflex. So the ligaments and muscles suffer repetitive strain injury (RSl). This causes constant pain, which is interpreted as throat ache – this may sound strange, and some doctors may dispute iq but I have seen and treated enough cases to speak with confidence. A health professional needs only to feel the muscles and ligaments in the floor of the throat and note how sore they are to the touch. If they are massaged with a little peppermint balm for two to three minutes, the pain vanishes. Do this two or three times a day for a couple of days and the throat ache will be history. To get to the bottom of the sore throat one must treat the sinuses.

Here are my suggestions

* Make sure you are not constipated: drink plenty of water; eat figs, prunes, papaya, spinach and beetroot. For mild constipation, take Herbolax: two after the evening meal or at bedtime for one month. For moderate constipation, take Qurs Mulayyan: one at bedtime for one month.

* Help clear the sinuses by taking herbal supplements – either Khamira Nazli or Lauq Sepistan. Take half a teaspoonful a day with water or manuka honey for two weeks.

* Ease the throat with the Ayurvedic supplement Kuka. Suck one when your throat stings or hurts, especially if this is after eating or drinking (don’t suck it at the same time as eating or drinking).

* If you have allergies, see a qualified homoeopath (Dr David Curtin at the Integrated Medical Centre, see right, specializes in the homoeopathic treatment of allergies).

* Doing yogic breathing exercises, particularly the cleansing breath, and using a nasal douche are very useful for chronic sinusitis. These are detailed in Therapeutic Yoga, the book I co-wrote with Jiwan Brar.

* Boost the immune system by taking Bioprash or Chavanprash daily for two months.

* Avoid the following foodstuffs because they irritate the throat chilled drinks, ice cubes, ice cream, citrus fruit/juices, very hot or spicy foods such as chilli, fried foods and crisps, also cheese and dairy foods because they clog up the sinuses.

* Also, see my column on catarrh, which is available on my website.