Medical Journeys

Archive for the ‘Pain Management’ Category

With today’s on-the-go mentality, it is no wonder why knee pain is the most common musculoskeletal complaint people have when they visit their doctor. Depending on the injury or condition, some knee pain can be excruciating. That’s why millions of people seek knee pain relief. Knee pain relief will vary from person to person. Some may simply need to rest the leg to find knee pain relief, while others may only find knee pain relief after surgical procedures.

Knee Pain Relief for Severe Knee Injuries

There are many types of injuries that cause severe knee pain. If you are an athlete, you are most likely familiar with knee pain resulting from torn ligaments, cartilage, or muscles. The more active you are, the more likely you are to experience knee pain from a sport-related injury. For a torn ligament, meniscal injury, or a completely ruptured tendon, doctors will usually recommend surgery in order to receive permanent knee pain relief.

Knee Pain Relief for Knee Osteoarthritis

To receive knee pain relief from knee osteoarthritis (degeneration of the cartilage), exercise is necessary. Doctors will prescribe certain exercises and stretches that can greatly increase flexibility of the muscles that support the knee. These exercises will reduce stress on the sensitive knee joint. For instant knee pain relief, some people may take over-the-counter medication, such as Advil or Tylenol, to help with osteoarthritis soreness.

Pain Relief for Overuse Knee Injuries

Sometimes it’s the simplest things that can cause damage. Something as simple as overuse of the knees can cause people to seek knee pain relief. Muscle strains and tendonitis can develop as people grow older. Inflammation occurs, therefore leading to pain. Stains and tears must be treated with care and allowed to heal over time. Some people use ice or heating pads for knee pain relief. Others take over-the-counter medications

Pain and Inflammation

In treating many types of knee pain, inflammation is the first thing you must bring under control. When you have an injury, substances that cause inflammation invade your knee, causing further injury, which leads to further inflammation, and etc. leading to continuation of your knee pain. So, the substances that cause inflammation must be brought under control to limit further injury to the tissue.

Some common care techniques to control inflammation:

1. Knee padding.

2. Rest the knee.

3. Ice on the knee 3X a day for 20 to 30 minutes.

4. Knee brace or wrap when you are on your feet.

5. Prop the knee up higher than your waist whenever you can.

6. Use Ibuprofen as an anti-inflammatory agent. NO aspirin.

7. Do all the above. If still pain after three days…see your doctor.

So, is your knee pain a slight annoyance or severe problem? Well, it all depends on what is causing your pain. If you feel a small amount of knee pain resulting from minor injury, you may be able to use self-help methods to find knee pain relief. However, if you experience a large amount of unbearable pain, or a nagging discomfort exists for a few of days, speak with your doctor to determine the correct knee pain relief plan for you.

For more information on knee pain relief, check out The Centre for Pain Relief. Educating yourself about knee injuries and condition.

Author: Raymond Attebery
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Does your heel hurt every time you walk or stand on it? When you play sports, do you have to continuously call time-outs because of heel pain? When you wake up in the morning, do you experience excruciating pain in your heel? If you have answered “yes” to any of these questions, you may have a foot spur and need treatment. Foot heel pain treatments vary as to their effectiveness.

Causes of Foot Heel Pain

Many different things can lead to heel pain. The first step in foot heel pain treatment is to see your doctor or a podiatrist. Your doctor can determine why you are experiencing heel pain and work with you to determine which foot heel pain treatment plan is right for you.

· Plantar fasciitis. Plantar fasciitis is a condition that occurs when the fascia (the band of tissues that connects your heel to your toes) becomes inflamed. This can happen from too much jumping or running, arthritis, or wearing poor-fitted shoes. Foot heel pain treatment for plantar fasciitis includes: specific exercises, rest, and/or heel inserts. If the pain is unbearable, your doctor may recommend medication to reduce the swelling.

· Stone Bruise. Something as simple as a stone or rock may be the cause of your heel pain. Sometimes when we step too hard on a solid object, we can bruise the pads of our heels. The foot heel pain treatment for a stone bruise is rest, walk on the ball of your foot, and ibuprofen to reduce inflammation. The pain will gradually go away.

· Tendonitis. Wear and tear can negatively affect the tendons in the foot, especially the Achilles tendon. When this happens, the Achilles tendon becomes inflamed, and pain behind the heel occurs. The foot heel pain treatment for this condition includes stretching exercises, heel inserts, pain medication, (Advil or Tylenol) or wearing open-backed shoes.

· Heel Spur. Your doctor or podiatrist will be able to point out if you have a spur by an x-ray. Causes of your heel pain could include inadequate flexibility in your calf muscles, lack of arch support, being overweight, suddenly increasing physical activity, and spending too much time on your feet. Treatment can involve any of or all of the following remedies as in rest, ice application, stretching, taping the heel for support, and orthonics for you shoes.

Foot Heel Pain Treatment: According to the American Orthopaedic Foot and Ankle Society (AOFAS), 72% of people who used stretching exercises to lesson heel pain, had the pain subside. Do not ignore heel pain. It could be an early sign of a variety of serious conditions. That is why early treatment of your heel pain is so valuable. And the good news is, most foot heel pain treatment plans are easy and can be conducted at home. Surgery is hardly ever necessary unless you let it get out of hand.

So, what are you waiting for? Don’t let heel pain interrupt your life a minute more. Find the best foot heel pain treatment available by talking to your podiatrist and agreeing on a course of action.

Author: Raymond Attebery
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Pain management is a problem with which contemporary medicine has been grappling for some time. There is nearly always a trade-off: you may not feel the pain, but you remain dependent upon chiropractic treatments, painkillers or massage, stupefied by muscle relaxants, or toxified by non-steroidal anti-inflammatory drugs (NSAIDS) — or worse: physically impaired by neuro-surgical interventions and injections of neurotoxins that take away the natural capacities of an intact nervous system. Meanwhile, the tissue inflammation and damage to joints, no longer being reported to you by pain, continues to develop. There is an effective alternative, new and radically different from conventional approaches.

Viewpoints about Pain

Whereas nearly everyone recognizes that chronic pain is a sign of “something wrong”, modern medical science has little to offer for certain kinds of pain – notably musculo-skeletal pain and headaches. Medical science thinks almost entirely in terms of intervention – either surgical or chemical (drugs); it overlooks the body’s natural self-regulating mechanisms, which sometimes go awry and cause the pain to begin with — two examples being headaches and back pain..

This potential to change how ones body functions has to do with conditioning. Perhaps fifty percent of musculo-skeletal pain comes from an excessively tight muscles – the result of injury and prolonged stress (long term emotional tension). Muscles go into contraction during pain and stress. This state of contraction cannot effectively be controlled by drugs or countered by surgery because it has to do with a brain-level reaction: habituated reflexes that keep muscles contracted as if the painful incident is still occurring.

Once this kind of reaction pattern forms, as during prolonged periods of healing, it tends to persist, sometimes for decades, unless and until the person does something deliberate to change them; these tensions do not “heal” because there is no damage. The neuromuscular system is functioning quite well, but in an aberrated way!

It is for that reason that chemical and physical interventions are ineffective: the person does not have a medical problem; they have a conditioning problem.

More Details

Let’s be more specific: How can tight muscles create pain?

Ever lifted something heavy for more than a few seconds? Don’t your muscles start to burn? Imagine what muscles must feel like when contracted 24 hours a day! And more: consider what tight muscles cause in the joints they cross: compression. Might not relentless compression cause joint pain? What about nerves trapped between tight muscles and bone: ever had a pinched nerve?

That mechanism accounts for a long list of familiar complaints: back pain, muscular pain, headaches, scoliosis, TMJ, carpal tunnel syndrome (in many cases), tennis elbow (medial epicondylitis), knee pain, foot pain, and certain other conditions.

Next question: What is the universal response to shock or injury? When you get hurt what’s the first thing that happens. You tighten up, don’t you?

Might that not explain the “pains and stiffness of aging”? — more opportunities for shock and/or injury as time passes?

So, A Conditioning Problem, Not a Medical Problem

Because of the recognized hazards of drug dependency, physicians are sometimes reluctant to prescribe even painkilling drugs and prefer to tell the patient to get used to the pain.

In extreme cases, however, the neurosurgeon steps in and cuts nerves, or the orthopedist replaces a joint (sometimes necessary and successful at alleviating pain, sometimes, not). Cortisone may be injected to reduce inflammation or botulism toxin injected to paralyze muscles. These kinds of measures often miss the point: the person is in pain because they are too tight; joints degenerated because of too much muscle-induced pressure; and muscles are too tight because the brain has become conditioned to hold them that way.

In that case, answer is not surgery or drugs; it is to change the conditioning by which a person holds themselves too tight — a process that falls more into the realm of learning than of medical intervention.

Deal With the Problem As It Is.

You should recognize the significance of the fact that pain management is generally considered a sub-specialty of anaesthesiology. Anaesthesiology doesn’t deal with causal conditions; it deals with effects. For those who were looking for information on TENS (Transcutaneous Electrical Nerve Stimulation), new drugs, nerve ablation surgeries, or a general monograph on contemporary methods of pain management, this article is likely to have been a disappointment. But those methods don’t handle the underlying cause of the majority of chronic pain conditions. This article addresses the missing piece and puts those other methods into perspective.

That said, let’s return the the central point of this article: most chronic pain conditions trace back to reflexive muscular tensions maintained by brain conditioning.

To change the tension level of muscles requires more than stretching or massaging; it requires a learning process that affects the brain, which controls the muscular system. Such a learning process is referred to in some circles as “somatic education”. Somatic education systematically uses special movement training techniques to improve awareness and control of the muscular system. Significant results come relatively quickly, and when they do, the benefits are second nature and require no special attention in daily life, other than a brief, morning-refreshment routine to purge out the accumulated effects of daily stresses.

Author: Lawrence Gold
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I see many people who deal with daily pain in my practice. Many resign themselves to taking pain medications such as ibuprofen (Advil, Motrin) or naproxen (Aleve). Others with more serious pain end up getting prescriptions for narcotics or having procedures such as epidural injections or even surgery.

Fortunately I am in a position to recommend a number of non-medical alternatives for controlling pain. Many of these are available at the local health food store. Others require a visit to a healthcare practitioner. If you are suffering from pain here are a few things you can do.

First of all you need to determine whether you are experiencing acute or chronic pain. Acute pain feels sharper in quality than chronic or what we sometimes call subacute pain. Many times acute pain is associated with inflammation. The tissues may feel slightly swollen and can be very tender to the touch. With subacute pain the tissues feel tighter and can restrict movement.

If the pain is moderate to severe and feels sharper in quality, (acute pain) then icing the painful area will help. Most people use the gel type ice packs. These are nice because they only last for about 20 minutes which is all you need. A good protocol to follow is to ice for 20 minutes then remove the ice for 40 minutes. One of the best times to use ice is before bedtime as the tissues tend to become inflamed over night. This will cause more intense pain in the morning.

Sometimes the inflammation comes and goes over a period of weeks. This is due to the damage in the soft tissues such as in your neck and back. When you go about your day the tissues absorb a certain amount of force. If the force exceeds what the damaged tissues can handle the tissue becomes inflamed. Many of my patients prematurely used heat in this case. If you heat up tissues that are inflamed you will prolong the inflammation. Using ice is a safer bet.

Another thing you can do for pain is to begin a regimen of natural anti-inflammatory substances. Many people do not know about these. There are a number of natural substances that have an anti-inflammatory effect. You can get these at your local health food store.

The natural anti-inflammatory substances include:

Bioflavinoids — these come from fruits and vegetables. There are

many bioflavinoid compounds and many natural

anti-inflammatory products contain them.

Tumeric and Ginger are commonly used spices and are sold in

capsule form in health food stores.

Boswellia Serrata is an Indian herb with anti-inflammatory properties.

Trypsin and Chymotrypsin are digestive enzymes usually taken for

digestive problems but also exhibit an anti-inflammatory effect.

The dose will depend on the product. You can consult with the store or a natural physician to determine the dose. Nutritional substances are much safer to take than even over the counter medications so side effects are at a minimum.

Lastly, some healthcare practitioners use electrical modalities such as TENS to help control pain. TENS stands for transcutaneous electrical nerve stimulation. Basically TENS bombards the spinal cord with electrical signals that interfere with pain. The research on TENS is mixed with regard to acute pain. In my experience with TENS I have seen both good and poor results. A lot has to do with setting up the unit properly. After using it awhile the body can adapt to the stimulus so the unit has to be adjusted regularly.

Other electrical modalities used for pain include interferential current and microcurrent. These are administered by practitioners such as chiropractors or physical therapists. Both help the tissues heal by either reducing inflammation or by stimulating the production of proteins in the cells.

One of the newer therapies used to decrease pain and stimulate healing is low level laser light therapy. The actual mechanism of healing is not known but clinical research shows that it can be effective in reducing pain and accelerating healing.

Acupuncture can also be effective in reducing muscle pain. Acupuncture is done by inserting needles or using mild electrical stimulation at specific points on the body. The points are located along meridians which are channels through which the life force flows. No one knows exactly how acupuncture works but many studies have been done that support its pain reducing effects.

There are a number of mind-body techniques that can help reduce or even eliminate pain. Meditation and guided imagery are two popular techniques that are used to reduce pain. In guided imagery you get into a relaxed state and then create an image of your pain or illness. You then imagine the image dissolving and yourself in a healthy pain-free state. Guided imagery may take a bit of practice but the results are well worth the effort.

There are many ways to treat pain aside from the familiar pills and injections that carry with them a significant risk of side effects. I always recommend trying the safer alternative methods first. In most cases the pain can be successfully treated without the dangers of medications.

Dr. Bruce Forciea is a chiropractor and author of Unlocking the Healing Code which is due for release in December 2007 by Llwellyn Worldwide. He also teaches college courses in anatomy and physiology.

Author: Dr. Bruce Forciea
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Joint pains are very disadvantageous because they can interfere in the normal functioning of people. From an Ayurvedic point of view, joint pains occur when there are digestive problems in the body, which leads to the buildup of toxins in the spaces between the joints. Hence, when the joints are moved in the slightest, pain is felt in them.

Some people live with excruciating joint pains that don’t go despite treatment. They look upon these pains as a part of growing up. However, with the right kind of medicine these pains can be totally eliminated.

Treatment with Simple Home Remedies

Remedy # 1

Take the juice of a ginger. Crush some vidanga (Embelia ribes, False Black Pepper) to a fine powder with some rock salt. Mix all of these and take them in quantities of three grams each time with honey. Lick on this thrice a day.

Remedy # 2

Massage the paining joints with the oil extracted from the seeds of the Bishop’s weed. Warm the oil a little before massaging. A similar kind of relief is obtained by massaging with the oil of neem (Azadirachta indica, Indian Margosa).

Remedy # 3

In case of joint pains due to cold weather, add a fistful of Bishop’s weed seeds and one teaspoon of salt in two cups of water and boil it. Keep a sieve on this, and then keep a cloth on the sieve. The cloth will get moistened with the warm fumes of the solution. Use this cloth to foment the painful joints. This will remove the pains.

Remedy # 4

Some joint pains are felt more acutely in the knees, fingers and shoulders when lifting some heavy weight. These are very persistent pains in most cases, and they do not dissipate despite treatments. In such pains, tomatoes are the best solutions due to their rich vitamin C content. Eat four to five raw tomatoes in a day, and eat one bowlful of thick tomato soup twice a day – in the morning and the evening. This provides great relief within a fortnight of continued use.

Remedy # 5

If there are sharp and sudden joint pains in any part of the body, then grind an amalaki (Emblica officinalis, Indian Gooseberry) in water that is a little warm. Then add a slightly crushed piece of cardamom in the water. Drink this concoction once a day. This will retain the zest and vigor of the body and also prevent all the inexplicable pains that arise suddenly in different parts of the body.

Remedy # 6

Take a petal of the yellow oleander flower, known as kaner in Hindi, and grind it to a paste in groundnut oil. Apply this paste regularly on the regions where the joint pains arise. Continuous use will totally eliminate the pains.

Remedy # 7

You can also grind some cloves of garlic and apply the paste on the affected joints. This will remove the pains in a short while. But the problem with this remedy is that the garlic paste needs to be washed off within a few minutes, or it will lead to boils on the skin.

Remedy # 8

Prepare a paste of mustard seeds with a little water. Apply this oily paste onto the affected joints. The pains will be eliminated in a short while.

Remedy # 9

This is a regimen that will take care of joint pains, but it takes some patience. Every morning after waking up, eat castor seeds in the following manner. On the first day of the routine, eat one peeled castor seed, on the second day two and so on keep increasing the number by one till the seventh day. From the eighth day onwards, begin reducing the number of castor seeds by one. Do this till the number comes down to one. The joint pains will vanish by then.

Remedy # 10

Cook some seeds of Bishop’s weed in water. Let the water boil and the fumes come out. Bring your affected joints in contact with the fumes. This will make the joint pains disappear.

Remedy # 11

Put some bitter oil in a pan. Add some seeds of the Bishop’s weed and some cloves of garlic. Use this oil to massage deep into the regions where you get frequent joint pains. This remedy has the potency to remove any kind of joint pains if done diligently.

Remedy # 12

Crush two cloves of garlic and add them to some sesame oil. Warm the oil and massage it deep into the paining joints. You will find immense benefits from this therapy.

Remedy # 13

If the pains are not that severe, then a simple steam fomentation with a cloth will also help. The cloth must be moistened with the vapors and then pressed deep into the affected areas. Fomentation must be done for at least twenty minutes a day, and preferably at dusk.

Remedy # 14

Prepare a brew of ginger juice in castor oil. Take no more than 10 milliliters of castor oil and a teaspoonful of the juice of ginger. Drink this twice a day – at dawn and at dusk – on an empty stomach.

Treatment with Special Ayurvedic Methods

Since joint pains are related to the accumulation of ama, the first step in their treatment is to remove all the toxins. This is done by making the patient fast for a day. After this, fomentation is applied on the swollen joints with dry heat. Castor oil is used extensively in Ayurveda to perform massage in case of joint pains. Herbs prescribed in various potencies are galangal, garlic, guggul and punarnava. Dashamoolarishta is the preparation most commonly prescribed, and treatment is generally carried on for three weeks.

Author: Ashi Jas
Article Source: EzineArticles.com
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