Posts Tagged ‘shoulder pain’

Fibromyalgia and Alternative Treatments

January 19th, 2010

From acupunc­ture to chi­ro­prac­tic, from mas­sage to med­i­ta­tion, alter­na­tive treat­ments are in great demand. That’s espe­cially true for peo­ple with pain-related ill­nesses such as fibromyal­gia. Alter­na­tive med­i­cine, includ­ing herbal ther­apy and home­opa­thy, it is used in place of con­ven­tional med­i­cine. These sys­tems are based on the belief that the body has the power to heal itself with mul­ti­ple tech­niques includ­ing those that involve the mind, body and spirit. Com­ple­men­tary med­i­cine is used together with con­ven­tional medicine.

For peo­ple with fibromyal­gia, some alter­na­tive treat­ments work well. That’s because holis­tic ther­a­pies influ­ence your total being. In that way, they may allow you to reduce your med­ica­tions and increase your nor­mal activities.

Study find­ings show that stan­dard acupunc­ture may be effec­tive in treat­ing some peo­ple with fibromyal­gia. Both biofeed­back and elec­troacupunc­ture have also been used for relief of fibromyal­gia symp­toms. How­ever, before you try alter­na­tive treat­ments, talk with your doc­tor. Check to see what lim­i­ta­tions might apply to you. Work­ing with your doc­tor, you can find an accept­able way to blend con­ven­tional med­i­cine with alter­na­tive treat­ments or nat­ural reme­dies. When you do, you may be able to increase rest­ful sleep and reduce your fibromyal­gia pain.
Can acupunc­ture treat fibromyalgia?

With acupunc­ture, a prac­ti­tioner inserts one or more dry nee­dles into the skin and under­ly­ing tis­sues at spe­cific points. Gen­tly twist­ing or oth­er­wise manip­u­lat­ing the nee­dles causes a mea­sur­able release of endor­phins into the blood­stream. Endor­phins are the body’s nat­ural opi­oids. In addi­tion, accord­ing to acupunc­ture prac­ti­tion­ers, energy blocks are removed. Remov­ing them is said to restore the flow of energy along the merid­i­ans, which are spe­cific energy channels.

Stud­ies show that acupunc­ture may alter brain chem­istry. It appears to do this by chang­ing the release of neu­ro­trans­mit­ters. These neu­ro­trans­mit­ters stim­u­late or inhibit nerve impulses in the brain that relay infor­ma­tion about exter­nal stim­uli and sen­sa­tions such as pain. In this way, the patient’s pain tol­er­ance is increased. One acupunc­ture treat­ment in some patients may last weeks to help alle­vi­ate chronic pain.
What is electroacupuncture?

Elec­troacupunc­ture is another way of stim­u­lat­ing the acupunc­ture points. It uses a nee­dle hooked up to small wires con­nected to very slight elec­tri­cal cur­rents. Heat — mox­i­bus­tion — and mas­sage — acu­pres­sure — can also be used dur­ing this elec­troacupunc­ture process.

Laser acupunc­ture is yet another off­shoot of this alter­na­tive ther­apy. It may occa­sion­ally be effec­tive for the treat­ment of carpal tun­nel syn­drome. While it uses the same points, there are no nee­dles involved.

There are pre­cau­tions to take if you want to try acupunc­ture. First, make sure you find a licensed acupunc­tur­ist who has a lot of expe­ri­ence. Also, make sure the acupunc­tur­ist uses only dis­pos­able needles.

There are mul­ti­ple styles of acupunc­ture. The style used depends on where the prac­ti­tioner stud­ied. For instance, Chi­nese acupunc­ture depends on larger bore nee­dles and the prac­ti­tioner may be more aggres­sive with mov­ing them. Japan­ese acupunc­ture uses thin­ner bore nee­dles with a rel­a­tively gen­tle approach. You’ll need to find the style that suits your fibromyal­gia needs.

How can chi­ro­prac­tic help fibromyalgia?

Chi­ro­prac­tic care is a very com­mon alter­na­tive treat­ment for fibromyal­gia pain. Peo­ple use it to treat pain of pres­sure points, back pain, neck pain, shoul­der pain, headaches, and pain from mus­cu­loskele­tal injuries. Chi­ro­prac­tic may be effec­tive for fibromyal­gia because it helps improve pain lev­els and increase cer­vi­cal and lum­bar ranges of motion.

Chi­ro­prac­tic is based on the prin­ci­ple that the body is a self-healing organ­ism. To reduce pain and increase heal­ing, the doc­tor of chi­ro­prac­tic uses spinal adjust­ments. The goal is to increase the mobil­ity between spinal ver­te­brae, which have become restricted, locked, or slightly out of proper position.

Chi­ro­prac­tors do this by using hand adjust­ments. With gen­tle pres­sure or stretch­ing, mul­ti­ple gen­tle move­ments of one area, or spe­cific high-velocity thrusts, the adjust­ments are said to help return the bones to a more nor­mal posi­tion or motion. This return is said to relieve pain and reduce ill health.
Can mas­sage ease fibromyal­gia pain?

With Swedish mas­sage, the prac­ti­tioner uses a sys­tem of long strokes, knead­ing, and fric­tion tech­niques. With these, the prac­ti­tioner mas­sages the more super­fi­cial lay­ers of the mus­cles. The mas­sage is com­bined with active and pas­sive move­ments of the joints.

Oil is usu­ally used to facil­i­tate the stroking and knead­ing of the body, thereby stim­u­lat­ing metab­o­lism and cir­cu­la­tion. The mas­sage ther­a­pist applies pres­sure and rubs the mus­cles in the same direc­tion as the flow of blood return­ing to the heart.

Deep tis­sue mas­sage may be help­ful for those with fibromyal­gia. The rea­son is ther­a­pists use greater pres­sure than is used in Swedish mas­sage. In so doing, they tar­get the deep lay­ers of mus­cle. Using a series of slow strokes and direct pres­sure, the ther­a­pist will strive to release chronic pat­terns of mus­cu­lar ten­sion. Some­times, the ther­a­pists use their elbows or thumbs to push hard into the deep­est grain of the mus­cle to reduce tension.

Neu­ro­mus­cu­lar mas­sage com­bines the basic prin­ci­ples of ancient Ori­en­tal ther­a­pies, such as acu­pres­sure and shi­atsu, with spe­cific hands-on deep tis­sue ther­apy. The goal is to reduce chronic mus­cle or myofas­cial (soft-tissue) pain.
How does biofeed­back work to ease fibromyalgia?

To indi­vid­u­al­ize the reduc­tion of stress in the treat­ment of fibromyal­gia, biofeed­back is often rec­om­mended. This mind/body relax­ation tech­nique uses elec­tron­ics to mea­sure stress-related responses in the body. The idea behind biofeed­back is that peo­ple can use infor­ma­tion about their body’s inter­nal processes to learn to con­trol those processes.

A con­sen­sus state­ment from the National Insti­tutes of Health indi­cates there is good evi­dence that biofeed­back might help relieve many types of chronic pain. For exam­ple, it might be use­ful in treat­ing ten­sion and migraine headaches. In one study at the Uni­ver­sity of South Alabama, 80% of chil­dren with migraines were symptom-free after receiv­ing inten­sive biofeed­back train­ing. In other research, some headache patients who were able to increase hand tem­per­a­ture using ther­mal biofeed­back also expe­ri­enced fewer and less intense migraine headaches.

How does biofeed­back work to ease fibromyal­gia? continued…

With biofeed­back, you are con­nected to a machine that informs you and your ther­a­pist when you are phys­i­cally relax­ing your body. Sen­sors detect mus­cle ten­sion, heart rate, breath­ing pat­tern, the amount of sweat pro­duced, or body tem­per­a­ture. Any one or all of these can let the trained biofeed­back ther­a­pist know if you are learn­ing to relax.

The instru­ments mag­nify sig­nals that you might not oth­er­wise notice. As a result, you can use this visual or audi­tory response to learn how to con­trol cer­tain bod­ily func­tions. The ulti­mate goal of biofeed­back is to use this skill out­side the therapist’s office when you are fac­ing real stressors.

With fibromyal­gia pain, you know the “real stres­sor” is the pain itself. Nev­er­the­less, other daily stres­sors can cause your fibromyal­gia to flare. What you want to do is respond in a healthy way to the chronic stres­sors. If learned prop­erly, elec­tronic biofeed­back can help you con­trol your heart rate, blood pres­sure, breath­ing pat­terns, and mus­cle ten­sion, poten­tially reduc­ing pain.
What is home­o­pathic medicine?

Home­opa­thy is a ther­a­peu­tic sys­tem of med­i­cine that started in the late 18th cen­tury. Home­opa­thy is based on the prin­ci­ple of “like cures like.” That means that reme­dies that would cause a poten­tial prob­lem in large doses will actu­ally encour­age the body to heal more rapidly if given in small doses. Prac­ti­tion­ers use small diluted for­mu­las of plant, min­eral, and ani­mal sub­stances to treat var­i­ous ail­ments. The hope is these for­mu­las will stim­u­late the body to throw off the offender.
Can herbal med­i­cine help fibromyalgia?

Herbal reme­dies have been used for gen­er­a­tions. They can be put in tea or soup or taken in other forms. While some herbal ther­a­pies have not been shown to have a spe­cific ben­e­fit for fibromyal­gia symp­toms, some patients have found improved sleep or more energy with herbal sup­ple­ments.
How can med­i­ta­tion help fibromyalgia?

With med­i­ta­tion, you allow your thoughts to take a break from daily ana­lyt­i­cal rou­tines and give sup­port to the spir­i­tual dimen­sion of life. When you med­i­tate, your body switches from the pump­ing “fight or flight” response to a calmer, more peace­ful mood. Stud­ies show that med­i­ta­tion pro­duces brain waves con­sis­tent with seren­ity and hap­pi­ness. Med­i­ta­tion pro­vides nour­ish­ment for your soul, sati­ates inner spir­i­tual hunger, and helps you to develop your abil­ity to pay atten­tion to all areas of life with­out dis­trac­tion.
What should I remem­ber if I want to try an alter­na­tive treatment?

It’s impor­tant to be openly dis­crim­i­nat­ing when choos­ing alter­na­tive treat­ments. The fact that some­thing is called “nat­ural” does not mean it is safe. Work­ing with your doc­tor, look for the alter­na­tive ther­a­pies that will best boost sleep and decrease pain. The right ther­apy can help get you on the healthy road again.

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Alternative Solution to Back Pain

July 28th, 2009

1) Acupunc­ture
A study con­ducted at Sheffield Uni­ver­sity in the United King­dom looked at the long-term symp­tom reduc­tion and eco­nomic ben­e­fits of acupunc­ture for per­sis­tent low back pain. An aver­age of 8 acupunc­ture treat­ments were given to 159 peo­ple, while 80 peo­ple received usual care instead.

After one year, peo­ple receiv­ing acupunc­ture had reduced pain and reported a sig­nif­i­cant reduc­tion in worry about their pain com­pared to the usual care group. After two years, the acupunc­ture group was sig­nif­i­cantly more likely to report that the past year had been pain-free. They were less likely to use med­ica­tion for pain relief.

How does acupunc­ture work? Accord­ing to tra­di­tional Chi­nese med­i­cine, pain results from blocked energy along energy path­ways of the body, which are unblocked when acupunc­ture nee­dles are inserted along these invis­i­ble pathways.

A sci­en­tific expla­na­tion is that acupunc­ture releases nat­ural pain-relieving opi­oids, sends sig­nals that calm the sym­pa­thetic ner­vous sys­tem, and releases neu­ro­chem­i­cals and hormones.

An acupunc­ture treat­ment gen­er­ally costs between $60 and $120. Acupunc­ture is tax-deductible (it’s con­sid­ered a med­ical expense) and some insur­ance plans pay for acupuncture.

If you want to try acupunc­ture, plan on going one to three times a week for sev­eral weeks initially.

2) Cap­saicin Cream
Although you may not have heard of cap­saicin (pro­nounced cap-SAY-sin) before, if you’ve ever eaten a chili pep­per and felt your mouth burn, you know exactly what cap­saicin does. Cap­saicin is the active ingre­di­ent in chili peppers.

When it is applied to the skin, cap­saicin has been found to deplete sub­stance P–a neu­ro­chem­i­cal that trans­mits pain–causing an anal­gesic effect.

In one double-blind study, 160 peo­ple were treated with cap­saicin for 3 weeks, while another 160 peo­ple used a placebo. After 3 weeks, pain was reduced by 42% in the cap­saicin group com­pared to 31% in the placebo group. Inves­ti­ga­tors rated cap­saicin sig­nif­i­cantly more effec­tive than placebo.

Cap­saicin cream, also called cap­sicum cream, is avail­able in drug stores, health food stores, and online. A typ­i­cal dosage is 0.025% cap­saicin cream applied four times a day. The most com­mon side effect is a sting­ing or burn­ing sen­sa­tion in the area.

If pos­si­ble, wear dis­pos­able gloves (avail­able at drug­stores) before apply­ing the cream. Be care­ful not to touch the eye area or open skin. A tube or jar of cap­saicin cream typ­i­cally costs between $8 and $25.

3) Vit­a­min D
Chronic mus­cle pain can be a symp­tom of vit­a­min D defi­ciency. Vit­a­min D is found in fish with small bones, for­ti­fied milk and cereal, and expo­sure to sunlight.

Risk fac­tors for vit­a­min D defi­ciency are:

•darker pig­mented skin (e.g. His­panic, African Amer­i­can, Asian) does not con­vert UV rays effi­ciently to vit­a­min D

•diges­tive dis­or­ders, such as celiac disease

•use of glu­co­cor­ti­coid med­ica­tions for con­di­tions such as lung dis­eases and allergies

•min­i­mal sun expo­sure (elderly, insti­tu­tion­al­ized, home­bound, veiled or heavily-clothed individuals)

•lat­i­tude and sea­son — for exam­ple, peo­ple in Boston do not pro­duce vit­a­min D from sun expo­sure between Novem­ber and February

A study by the Uni­ver­sity of Min­nesota looked at the preva­lence of vit­a­min D defi­ciency in 150 peo­ple with chronic mus­cu­loskele­tal pain. Researchers found that 93% of patients had vit­a­min D defi­ciency. All peo­ple with darker pig­mented skin (African Amer­i­can, East African, His­panic, and Native Amer­i­can ori­gin) had vit­a­min D deficiency.

Another inter­est­ing find­ing was that the major­ity of peo­ple with severe vit­a­min D defi­ciency were under 30 years of age. Sea­son was not a sig­nif­i­cant factor.

The researchers con­cluded that all peo­ple with per­sis­tent, non-specific mus­cu­loskele­tal pain should be screened for vit­a­min D deficiency.

4) Music Ther­apy
Music ther­apy is a low-cost nat­ural ther­apy that has been found to reduce the dis­abil­ity, anx­i­ety, and depres­sion asso­ci­ated with chronic pain.

A study eval­u­ated the influ­ence of music ther­apy in hos­pi­tal­ized patients with chronic back pain. Researchers ran­dom­ized 65 patients to receive, on alter­nate months, phys­i­cal ther­apy plus 4 music ther­apy ses­sions or phys­i­cal ther­apy alone.

Music ther­apy sig­nif­i­cantly reduced dis­abil­ity, anx­i­ety, and depres­sion. Music had an imme­di­ate effect on reduc­ing pain, although the results were not sta­tis­ti­cally significant.

5) Vit­a­min B12
Vit­a­min B12 has been found to relieve low back pain. A double-blind Ital­ian study exam­ined the safety and effec­tive­ness of vit­a­min B12 for low back pain. Peo­ple who received vit­a­min B12 showed a sta­tis­ti­cally sig­nif­i­cant reduc­tion in pain and dis­abil­ity. They also used less pain med­ica­tion than the placebo group.

Besides pain, other symp­toms of vit­a­min B12 defi­ciency are numb­ness and tin­gling, irri­tabil­ity, mild mem­ory impair­ment, and depression.

Risk fac­tors for vit­a­min B12 defi­ciency are :

•per­ni­cious anemia

•med­ica­tions (stom­ach acid-blocking medications)

•inad­e­quate intake of meat or dairy products

•infec­tion (small intes­tine bac­te­r­ial over­growth, parasites)

•Diges­tive dis­eases (stom­ach removal surgery, celiac dis­ease, Crohn’s disease

Vit­a­min B12 mus­cle injec­tions are the stan­dard treat­ment for vit­a­min B12 defi­ciency. Stud­ies have found vit­a­min B12 sub­lin­gual tablets (placed under the tongue for absorp­tion) and nasal gel are also effective.

6) Mag­ne­sium
Mag­ne­sium is the fourth most abun­dant min­eral in the body. It’s involved in over 300 bio­chem­i­cal reac­tions in the body.

Mag­ne­sium helps main­tain nor­mal mus­cle and nerve func­tion, keeps heart rhythm steady, sup­ports a healthy immune sys­tem, and keeps bones strong. Mag­ne­sium also helps reg­u­late blood sugar lev­els, pro­motes nor­mal blood pres­sure, and is known to be involved in energy metab­o­lism and pro­tein synthesis.

Symp­toms of mag­ne­sium defi­ciency include mus­cle spasms and pain, pre­men­strual syn­drome, irri­tabil­ity, depres­sion, insulin resis­tance, high blood pres­sure, irreg­u­lar heart rhythms, and heart disease.

A Ger­man study found that min­eral sup­ple­ments increased intra­cel­lu­lar mag­ne­sium lev­els by 11% and was asso­ci­ated with a reduc­tion in pain symp­toms in 76 out of 82 peo­ple with chronic low back pain.

7) Wil­low Bark
The bark of the white wil­low tree (Salix alba) has pain-relieving prop­er­ties sim­i­lar to aspirin. An ingre­di­ent in white wil­low bark, called salicin, is con­verted in the body to sal­i­cylic acid (aspirin is also con­verted to sal­i­cylic acid once in the body). Sal­i­cylic acid is believed to be the active com­pound that relieves pain and inflammtion.

A num­ber of stud­ies have com­pared white wil­low to med­ica­tion or placebo:

•A Uni­ver­sity of Syd­ney study com­pared the effects of wil­low bark extract to refe­coxib, a Cox-2 inhibitor pain med­ica­tion. In the study, 114 patients received a herbal extract con­tain­ing 240 mg of salicin and 114 received 12.5 mg of refe­coxib every day. After four weeks, both groups had a com­pa­ra­ble reduc­tion in pain.

•A study in the Amer­i­can Jour­nal of Med­i­cine exam­ined 191 patients with an exac­er­ba­tion of chronic low back pain. They were ran­domly assigned to receive a wil­low bark extract with either 120 mg (low-dose) or 240 mg (high-dose) of salicin, or placebo. In the fourth week of treat­ment, 39% of peo­ple receiv­ing the high-dose extract were pain-free, 21% receiv­ing the low-dose were pain-free, and 6% of peo­ple receiv­ing the placebo were pain-free. Peo­ple in the high-dose group improved after the first week. Sig­nif­i­cantly more peo­ple in the placebo group required pain medication.

8) Yoga for Back Pain
Yoga cre­ates bal­ance in the body through var­i­ous poses that develop flex­i­bil­ity and strength. A study of peo­ple with chronic mild low back pain com­pared Iyen­gar yoga to back edu­ca­tion. After 16 weeks, there was a sig­nif­i­cant reduc­tion in pain inten­sity, dis­abil­ity, and reliance on pain med­ica­tion in the yoga group. Ben­e­fits were also seen at three month fol­low up assessments.

Another study com­pared yoga, con­ven­tional exer­cise, and a self care book for peo­ple with chronic low back pain. Back func­tion in the yoga group was supe­rior to the book and exer­cise groups at 12 weeks. Although there was no dif­fer­ence in symp­toms at 12 weeks, at 26 weeks, the yoga group was supe­rior to the book group.

9) Bowen Ther­apy
Bowen ther­apy is a type of gen­tle body­work that was devel­oped in Aus­tralia by osteopath Tom Bowen (1916–1982). Bowen ther­apy is more widely used in Aus­tralia and Europe, but it has been grow­ing in pop­u­lar­ity in North America.

Bowen ther­a­pists use a series of spe­cial­ized “moves” using their fin­gers and thumbs. The moves typ­i­cally involve the ther­a­pist pulling the skin slack away from the mus­cle, apply­ing pres­sure, and then quickly releas­ing the tension.

These moves are per­formed on pre­cise areas of mus­cles where spe­cial recep­tors are located. Nerve impulses are sent to the brain, result­ing in mus­cle relax­ation and reduc­tion of pain.

The moves are not con­tin­u­ous — the ther­a­pist allows the client to rest for a few min­utes between each move. A typ­i­cal treat­ment is between 30 to 40 minutes.

10) Breath­ing Tech­niques
Breath­ing tech­niques that make use of the mind-body con­nec­tion have been found to reduce pain. These tech­niques inte­grate body aware­ness, breath­ing, move­ment, and med­i­ta­tion. What’s great about breath­ing tech­niques is that you can do them your­self at home at no cost.

One study com­pared 6–8 weeks (12 ses­sions) of breath ther­apy to phys­i­cal ther­apy. Patients improved sig­nif­i­cantly with breath ther­apy. Changes in stan­dard low back pain mea­sures of pain and dis­abil­ity were com­pa­ra­ble to those result­ing from high qual­ity, extended phys­i­cal ther­apy. Breath ther­apy was found to be safe. Other ben­e­fits of breath ther­apy were improved cop­ing skills and new insight into the effect of stress on the body.

11) Mas­sage Ther­apy
When many peo­ple have back aches and pain, the first thing they think of is mas­sage. Stud­ies have found that mas­sage may be effec­tive for sub­a­cute and chronic pain. It has also been found to reduce anx­i­ety and depres­sion asso­ci­ated with chronic pain. Mas­sage ther­apy is the most pop­u­lar ther­apy for low back pain dur­ing pregnancy.

12) Chi­ro­prac­tic
Back pain is one of most com­mon rea­sons peo­ple see a chi­ro­prac­tor. Doc­tors of chi­ro­prac­tic use chi­ro­prac­tic spinal manip­u­la­tion to restore joint mobil­ity. They man­u­ally apply a con­trolled force to joints that have become restricted by mus­cle injury, strain, inflam­ma­tion, and pain. Manip­u­la­tion is believed to relieve pain and mus­cle tight­ness and encour­age healing.

A study pub­lished in the Spine Jour­nal exam­ined manip­u­la­tions com­pared to sim­u­lated manip­u­la­tions in 102 peo­ple with back pain and/or radi­at­ing pain. The researchers found that active manip­u­la­tions were more effec­tive at reduc­ing acute back pain and sci­at­ica with disc protrusion.

13) Alexan­der Tech­nique
Alexan­der tech­nique teaches peo­ple to improve their pos­ture and elim­i­nate bad habits such as slouch­ing, which can lead to pain, mus­cle ten­sion, and decreased mobil­ity. This tech­nique was cre­ated by Fred­er­ick Matthias Alexan­der (1869–1955), an Aus­tralian actor who learned how to cor­rect hoarse­ness in his voice by improv­ing his posture.

You can learn Alexan­der tech­nique in pri­vate ses­sions or group classes. A typ­i­cal ses­sion lasts about 45 min­utes. Dur­ing that time, the instruc­tor notes the way you carry your­self and coaches you with ver­bal instruc­tion and gen­tle touch.

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(Con­tin­ued from Page 2)
10) Breath­ing Tech­niques
Breath­ing tech­niques that make use of the mind-body con­nec­tion have been found to reduce pain. These tech­niques inte­grate body aware­ness, breath­ing, move­ment, and med­i­ta­tion. What’s great about breath­ing tech­niques is that you can do them your­self at home at no cost.

One study com­pared 6–8 weeks (12 ses­sions) of breath ther­apy to phys­i­cal ther­apy. Patients improved sig­nif­i­cantly with breath ther­apy. Changes in stan­dard low back pain mea­sures of pain and dis­abil­ity were com­pa­ra­ble to those result­ing from high qual­ity, extended phys­i­cal ther­apy. Breath ther­apy was found to be safe. Other ben­e­fits of breath ther­apy were improved cop­ing skills and new insight into the effect of stress on the body.
•Breath­ing tech­nique — How to breathe with your belly
11) Mas­sage Ther­apy
When many peo­ple have back aches and pain, the first thing they think of is mas­sage. Stud­ies have found that mas­sage may be effec­tive for sub­a­cute and chronic pain. It has also been found to reduce anx­i­ety and depres­sion asso­ci­ated with chronic pain. Mas­sage ther­apy is the most pop­u­lar ther­apy for low back pain dur­ing preg­nancy.
•Find a mas­sage ther­a­pist
12) Chi­ro­prac­tic
Back pain is one of most com­mon rea­sons peo­ple see a chi­ro­prac­tor. Doc­tors of chi­ro­prac­tic use chi­ro­prac­tic spinal manip­u­la­tion to restore joint mobil­ity. They man­u­ally apply a con­trolled force to joints that have become restricted by mus­cle injury, strain, inflam­ma­tion, and pain. Manip­u­la­tion is believed to relieve pain and mus­cle tight­ness and encour­age healing.

A study pub­lished in the Spine Jour­nal exam­ined manip­u­la­tions com­pared to sim­u­lated manip­u­la­tions in 102 peo­ple with back pain and/or radi­at­ing pain. The researchers found that active manip­u­la­tions were more effec­tive at reduc­ing acute back pain and sci­at­ica with disc pro­tru­sion.
•Find a doc­tor of chi­ro­prac­tic
13) Alexan­der Tech­nique
Alexan­der tech­nique teaches peo­ple to improve their pos­ture and elim­i­nate bad habits such as slouch­ing, which can lead to pain, mus­cle ten­sion, and decreased mobil­ity. This tech­nique was cre­ated by Fred­er­ick Matthias Alexan­der (1869–1955), an Aus­tralian actor who learned how to cor­rect hoarse­ness in his voice by improv­ing his posture.

You can learn Alexan­der tech­nique in pri­vate ses­sions or group classes. A typ­i­cal ses­sion lasts about 45 min­utes. Dur­ing that time, the instruc­tor notes the way you carry your­self and coaches you with ver­bal instruc­tion and gen­tle touch.
•More about Alexan­der tech­nique
14) Pro­lother­apy
Pro­lother­apy addresses dam­aged lig­a­ments (bands of con­nec­tive tis­sue that help keep bones attached to each other) to relieve chronic mus­cu­loskele­tal pain.

How does it work? Ten­dons and lig­a­ments in the back often do not heal com­pletely after injury. Bones of the spine become less sta­ble, which can lead to chronic pain.

Pro­lother­apy involves the injec­tion of a liq­uid solu­tion into soft tis­sues such as lig­a­ments and ten­dons. This trig­gers local inflam­ma­tion and trig­gers the body’s nat­ural heal­ing response which repairs the weak­ened soft tis­sues and relieves pain. Unlike drugs, pro­lother­apy is thought to address the under­ly­ing problem.

After locat­ing the areas that require treat­ment, the doc­tor inserts a thin nee­dle with the solu­tion into the area. There is often mild pain, but it can be reduced by using a local anaes­thetic. A typ­i­cal course of treat­ment is 10 to 25 ses­sions for back pain. Since it is believed to repair the joint, no other treat­ment is necessary.

Pre­lim­i­nary stud­ies have found that back pain, which often involves lig­a­ment injury, responds par­tic­u­larly well to pro­lother­apy. It is the posi­tion of the Amer­i­can Asso­ci­a­tion of Orthopaedic Med­i­cine that pro­lother­apy is a safe and effec­tive ther­apy for the treat­ment of selected cases of low back pain and other chronic myofas­cial pain syn­dromes. Pro­lother­apy injec­tions must be admin­is­tered by a med­ical doc­tor (M.D.), osteopath (D.O.) or by a state-licensed natur­o­pathic doc­tor (N.D.) in cer­tain states.

15) Bal­neother­apy
Bal­neother­apy is one of the old­est ther­a­pies for pain relief. The term “bal­neo” comes from the Latin word, bal­neum, mean­ing bath. Bal­neother­apy is a form of hydrother­apy that involves bathing in min­eral water or warm water.
•A study com­pared bathing in min­eral water to plain tap water in 60 peo­ple with low back pain. They found that min­eral water con­tain­ing sul­phur was supe­rior in reduc­ing pain and improv­ing mobil­ity com­pared with tap water.

•A sys­tem­atic review and meta-analysis pub­lished in the jour­nal Rheuma­tol­ogy assessed spa ther­apy and bal­neother­apy for low back pain. The researchers found that the data sug­gest ben­e­fi­cial effects com­pared to con­trol groups. They con­cluded that the results were encour­ag­ing and that large-scale tri­als were war­ranted.
Dead Sea salts and other sulphur-containing bath salts can be found in spas, health food stores, and online.

Peo­ple with heart con­di­tions should not use bal­neother­apy unless under the super­vi­sion of their pri­mary care provider.

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What are the common problems to Shoulder Pain?

June 24th, 2009

Shoul­der pain is an extremely com­mon com­plaint, and there are many com­mon causes of this prob­lem. It is impor­tant to make an accu­rate diag­no­sis of the cause of your symp­toms so that appro­pri­ate treat­ment can be directed at the cause. If you have shoul­der pain, some com­mon causes include:

  • Bur­si­tis | Rota­tor Cuff Ten­donitis
    The most com­mon diag­no­sis in patients with shoul­der pain is bur­si­tis or ten­donitis of the rota­tor cuff.
  • Rota­tor Cuff Tear
    Rota­tor cuff tears occur when the ten­dons of the rota­tor cuff sep­a­rate from the bone. Surgery is some­times nec­es­sary for this condition.
  • Frozen Shoul­der
    Also called ‘adhe­sive cap­suli­itis,’ this is a com­mon con­di­tion that leads to stiff­ness of the joint. Phys­i­cal ther­apy and stretch­ing are extremely impor­tant aspects of treatment.
  • Cal­cific Ten­donitis
    Cal­cific ten­donitis is a con­di­tion of cal­cium deposits within a ten­don — most com­monly within the rota­tor cuff ten­dons. Treat­ment of cal­cific ten­donitis depends on the extent of symptoms.
  • Shoul­der Insta­bil­ity
    Insta­bil­ity is a prob­lem that causes a loose joint. Insta­bil­ity can be caused by a trau­matic injury (dis­lo­ca­tion), or may be a devel­oped condition.
  • Shoul­der Dis­lo­ca­tion
    A dis­lo­ca­tion is an injury that occurs when the top of the arm bone becomes dis­con­nected from the scapula.
  • Shoul­der Sep­a­ra­tion
    Also called an AC sep­a­ra­tion, these injuries are the result of a dis­rup­tion of the acromio­clav­ic­u­lar joint. This is a very dif­fer­ent injury from a dislocation!
  • Labral Tear
    There are sev­eral pat­terns of a torn labrum and the type of treat­ment depends on the spe­cific injury.
  • SLAP Lesion
    The SLAP lesion is also a type of labral tear. The most com­mon cause is a fall onto an out­stretched hand.
  • Arthri­tis
    Shoul­der arthri­tis is less com­mon than knee and hip arthri­tis, but when severe may require a joint replace­ment surgery.
  • Biceps Ten­don Rup­ture
    A prox­i­mal biceps ten­don rup­ture occurs when the ten­don of the biceps mus­cle rup­tures near the joint.
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Shoulder Pain — Causes & Remedy

May 21st, 2009

shoulder

Shoul­der pain is an extremely com­mon com­plaint, and there are many com­mon causes of this prob­lem. It is impor­tant to make an accu­rate diag­no­sis of the cause of your symp­toms so that appro­pri­ate treat­ment can be directed at the cause. If you have shoul­der pain, some com­mon causes include:

  • Bur­si­tis | Rota­tor Cuff Ten­donitis
    The most com­mon diag­no­sis in patients with shoul­der pain is bur­si­tis or ten­donitis of the rota­tor cuff.
  • Rota­tor Cuff Tear
    Rota­tor cuff tears occur when the ten­dons of the rota­tor cuff sep­a­rate from the bone. Surgery is some­times nec­es­sary for this condition.
  • Frozen Shoul­der
    Also called ‘adhe­sive cap­suli­itis,’ this is a com­mon con­di­tion that leads to stiff­ness of the joint. Phys­i­cal ther­apy and stretch­ing are extremely impor­tant aspects of treatment.
  • Cal­cific Ten­donitis
    Cal­cific ten­donitis is a con­di­tion of cal­cium deposits within a ten­don — most com­monly within the rota­tor cuff ten­dons. Treat­ment of cal­cific ten­donitis depends on the extent of symptoms.
  • Shoul­der Insta­bil­ity
    Insta­bil­ity is a prob­lem that causes a loose joint. Insta­bil­ity can be caused by a trau­matic injury (dis­lo­ca­tion), or may be a devel­oped condition.
  • Shoul­der Dis­lo­ca­tion
    A dis­lo­ca­tion is an injury that occurs when the top of the arm bone becomes dis­con­nected from the scapula.
  • Shoul­der Sep­a­ra­tion
    Also called an AC sep­a­ra­tion, these injuries are the result of a dis­rup­tion of the acromio­clav­ic­u­lar joint. This is a very dif­fer­ent injury from a dislocation!
  • Labral Tear
    There are sev­eral pat­terns of a torn labrum and the type of treat­ment depends on the spe­cific injury.
  • SLAP Lesion
    The SLAP lesion is also a type of labral tear. The most com­mon cause is a fall onto an out­stretched hand.
  • Arthri­tis
    Shoul­der arthri­tis is less com­mon than knee and hip arthri­tis, but when severe may require a joint replace­ment surgery.
  • Biceps Ten­don Rup­ture
    A prox­i­mal biceps ten­don rup­ture occurs when the ten­don of the biceps mus­cle rup­tures near the joint.

When do you need to call your doc­tor about your shoul­der pain?b_16_1_1b
If you are unsure of the cause of your shoul­der pain, or if you do not know the spe­cific treat­ment rec­om­men­da­tions for your con­di­tion, you should seek med­ical atten­tion. Treat­ment of these con­di­tions must be directed at the spe­cific cause of your prob­lem. Some signs that you should be seen by a doc­tor include:

    • Inabil­ity to carry objects or use the arm
    • Injury that causes defor­mity of the joint
    • Shoul­der pain that occurs at night or while resting
    • Shoul­der pain that per­sists beyond a few days
    • Inabil­ity to raise the arm
    • Swelling or sig­nif­i­cant bruis­ing around the joint or arm
    • Signs of an infec­tion, includ­ing fever, red­ness, warmth
    • Any other unusual symptoms

b_16_1_1cWhat are the best treat­ments for shoul­der pain?

The treat­ment of shoul­der pain depends entirely on the cause of the prob­lem. There­fore, it is of utmost impor­tance that you under­stand the cause of your symp­toms before embark­ing on a treat­ment pro­gram. If you are unsure of your diag­no­sis, or the sever­ity of your con­di­tion, you should seek med­ical advice before begin­ning any treatment.

Not all treat­ments listed here are appro­pri­ate for every con­di­tion, but may be help­ful in your situation.

  • Rest: The first treat­ment for many com­mon con­di­tions that cause shoul­der pain is to rest the joint, and allow the acute inflam­ma­tion to sub­side. It is impor­tant, how­ever, to use cau­tion when rest­ing the joint, because pro­longed immo­bi­liza­tion can cause a frozen shoulder.
  • Hot and Cold Appli­ca­tion: Nature Cre­ation hot and cold pads are among the most copy-of-shoulderwrapsmallcom­monly used treat­ments for shoul­der pain. So which one is the right one to use, ice or heat? And how long should the ice or heat treat­ments last? Read on for more infor­ma­tion about ice and heat treat­ment.
  • Stretch­ing: Stretch­ing the mus­cles and ten­dons that sur­round the joint can help with some causes of shoul­der pain.
  • Phys­i­cal Ther­apy: Phys­i­cal ther­apy is an impor­tant aspect of treat­ment of almost all ortho­pe­dic con­di­tions. Phys­i­cal ther­a­pists use dif­fer­ent modal­i­ties to increase strength, regain mobil­ity, and help return patients to their pre-injury level of activity.Some exer­cises may help you strengthen the mus­cles around the joint and relieve some of the pain asso­ci­ated with many conditions.
  • Anti-Inflammatory Med­ica­tion: Non­s­teroidal anti-inflammatory pain med­ica­tions, com­monly referred to as NSAIDs, are some of the most com­monly pre­scribed med­ica­tions, espe­cially for patients with shoul­der pain caused by prob­lems such as arthri­tis, bur­si­tis, and tendonitis.
  • Cor­ti­sone injec­tions: Cor­ti­sone is a pow­er­ful med­ica­tion that treats inflam­ma­tion, and inflam­ma­tion is a com­mon prob­lem in patients with shoul­der pain. Dis­cuss with your doc­tor the pos­si­ble ben­e­fits of a cor­ti­sone injec­tion for your shoul­der pain condition.
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