Archive for the ‘suffer’ Category
Tuesday, August 26th, 2008
Strains, sprains, and other muscle injuries can result in pain, stiffness, and muscle spasms. Muscle relaxants do not heal the injuries, but they do relaxmuscles and help ease discomfort and stop muscle spasms. The muscle relaxantcyclobenzaprine (Flexeril) is also sometimes used to treat fibromyalgia, a condition that involves aches, stiffness, and fatigue.
Muscle relaxants work by acting on the central nervous system. In the UnitedStates, they are available only with a physician’s prescription. Examples ofmuscle relaxants are carisoprodol (Soma), chlorzoxazone (Parafon Forte DSC),cyclobenzaprine (Flexeril), and methocarbamol (Robaxin). Most come only in tablet form. However, methocarbamol (Robaxin) is available in both tablet and injectable forms. Some muscle relaxants are available in Canada without a prescription.
Muscle relaxants are usually prescribed along with rest, exercise, physical therapy, or other treatments. Although the drugs may provide relief, they should never be considered a substitute for these other forms of treatment. Thesedrugs may make the injury feel so much better that one is tempted to go backto normal activity, but doing too much too soon can actually make the injuryworse.
Muscle relaxants work quite well for relieving muscle pain due to injuries, but are not effective for other types of pain. Some people feel drowsy, dizzy,confused, lightheaded, or less alert when using muscle relaxants drugs. These drugs may also cause blurred vision, clumsiness, or unsteadiness.
Because muscle relaxants work on the central nervous system, they may add tothe effects of alcohol and other drugs that slow down the central nervous system. They may also add to the effects of anesthetics, including those used for dental procedures. For this reason, anyone who takes these drugs should notdrive, operate machinery, or do anything else that might be dangerous untilthey have found out how the drugs affect them.
People with certain medical conditions or who are taking certain other medicines can have problems if they take muscle relaxants. Diabetes should be awarethat the metaxalone (Skelaxin) may cause false test results on one type of test for sugar in the urine. People with epilepsy should be cautioned that taking the muscle relaxant methocarbamol may increase the likelihood of seizures.
Anyone who has allergies, who is breastfeeding has kidney disease, has suffered a recent heart attack or irregular heartbeat, has an overactive thyroid gland, hepatitis or liver disease, is a current or former drug or alcohol abuser, has glaucoma, or has problems with urination should discuss their condition with their doctor before taking muscle relaxants.
The most common side effects or muscle relaxants are vision changes, such asdouble vision or blurred vision; dizziness; lightheadedness; drowsiness; anddry mouth. These problems usually go away as the body adjusts to the drug anddo not require medical treatment. Methocarbamol and chlorzoxazone may causeharmless color changes in urine –orange or reddish-purple with chlorzoxazoneand purple, brown, or green with methocarbamol. The urine will return to itsnormal color when the patient stops taking the medicine.
Less common side effects, such as stomach cramps or pain, nausea and vomiting, constipation, diarrhea, hiccups, clumsiness or unsteadiness, confusion, nervousness, restlessness, irritability, flushed or red face, headache, heartburn, weakness, trembling, and sleep problems also may occur and do not need medical attention unless they do not go away or they interfere with normal activities.
More serious side effects are not common, but may occur. Anyone who experiences breathing problems, facial swelling, fainting, unusually fast or unusuallyslow heartbeat, fever, tightness in the chest, rash, itching, hives, burning, stinging, red, or bloodshot eyes, or unusual thoughts or dreams after taking muscle relaxants should seek medical help promptly
The muscle relaxant chlorzoxazone (Parafon Forte DSC) has caused serious, life-threatening liver problems in some people. The reaction is rare, but anyonetaking the drug should stop taking it and notify his or her physician immediately if any of these symptoms occur: fever, rash, loss of appetite, nausea,vomiting, fatigue, pain in the upper right part of the abdomen, dark urine, or yellow skin or eyes.
Muscle relaxants may interact with some other medicines. When this happens, the effects of one or both of the drugs may change or the risk of side effectsmay be greater. Anyone who plans to take muscle relaxants should let the physician know all other medicines, including over-the-counter or nonprescription medicines, that he or she is taking.
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Friday, July 18th, 2008
You may be able to avoid back pain by improving your physical condition and learning and practicing proper body mechanics.
To keep your back healthy and strong:
* Exercise. Regular low-impact aerobic activities — those that don’t strain or jolt your back — can increase strength and endurance in your back and allow your muscles to function better. Walking and swimming are good choices. Talk with your doctor about which activities are best for you.
* Build muscle strength and flexibility. Abdominal and back muscle exercises (core-strengthening exercises) help condition these muscles so that they work together like a natural corset for your back. Flexibility in your hips and upper legs aligns your pelvic bones to improve how your back feels.
* Quit smoking. Smokers have diminished oxygen levels in their spinal tissues, which can hinder the healing process.
* Maintain a healthy weight. Being overweight puts strain on your back muscles. If you’re overweight, trimming down can prevent back pain.
Use proper body mechanics:
* Stand smart. Maintain a neutral pelvic position. If you must stand for long periods of time, alternate placing your feet on a low footstool to take some of the load off your lower back.
* Sit smart. Choose a seat with good lower back support, arm rests and a swivel base. Consider placing a pillow or rolled towel in the small of your back to maintain its normal curve. Keep your knees and hips level.
* Lift smart. Let your legs do the work. Move straight up and down. Keep your back straight and bend only at the knees. Hold the load close to your body. Avoid lifting and twisting simultaneously. Find a lifting partner if the object is heavy or awkward.
Alternative medicine
Many people choose hands-on therapies to ease their back pain:
* Chiropractic care. Back pain is one of the most common reasons that people see a chiropractor. If you’re considering chiropractic care, talk to your doctor about the most appropriate specialist for your type of problem. In addition to chiropractors, many osteopathic doctors and some physical therapists have training in spinal manipulation.
* Acupuncture. Some people with low back pain report that acupuncture helps relieve their symptoms. The National Institutes of Health has found that acupuncture can be an effective treatment for some types of chronic pain. In acupuncture, the practitioner inserts sterilized stainless steel needles into the skin at specific points on the body.
* Massage. If your back pain is caused by tense or overworked muscles, massage therapy may help loosen knotted muscles and promote relaxation.
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Wednesday, July 16th, 2008
Diagnostic tests aren’t usually necessary to confirm the cause of your back pain. However, if you do see your doctor for back pain, he or she will examine your back and assess your ability to sit, stand, walk and lift your legs. He or she may also test your reflexes with a rubber reflex hammer. These assessments help determine where the pain comes from, how much you can move before pain forces you to stop and whether you have muscle spasms. They will also help rule out more serious causes of back pain.
If there is reason to suspect that you have a tumor, fracture, infection or other specific condition that may be causing your back pain, your doctor may order one or more tests:
* X-ray. These images show the alignment of your bones and whether you have arthritis or broken bones. X-ray images won’t directly show problems with your spinal cord, muscles, nerves or disks.
* Magnetic resonance imaging (MRI) or computerized tomography (CT) scans. These scans can generate images that may reveal herniated disks or problems with bones, muscles, tissue, tendons, nerves, ligaments and blood vessels.
* Bone scan. In rare cases, your doctor may use a bone scan to look for bone tumors or compression fractures caused by osteoporosis. In this procedure, you’ll receive an injection of a small amount of a radioactive substance (tracer) into one of your veins. The substance collects in your bones and allows your doctor to detect bone problems using a special camera.
* Nerve studies (electromyography, or EMG). This test measures the electrical impulses produced by the nerves and the responses of your muscles. Studies of your nerve-conduction pathways can confirm nerve compression caused by herniated disks or narrowing of your spinal canal (spinal stenosis).
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Monday, July 14th, 2008
Factors that increase your risk of developing low back pain include:
* Smoking
* Obesity
* Older age
* Female gender
* Physically strenuous work
* Sedentary work
* Stressful job
* Anxiety
* Depression
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Saturday, July 12th, 2008
Your back is an intricate structure composed of bones, muscles, ligaments, tendons and disks — the cartilage-like pads that act as cushions between the segments of your spine. Back pain can arise from problems with any of these component parts. In some people, no specific cause for their back pain can be found.
Back Pain Strains
Back pain most often occurs from strained muscles and ligaments, from improper or heavy lifting, or after a sudden awkward movement. Sometimes a muscle spasm can cause back pain.
Back Pain Structural problems
In some cases, back pain may be caused by structural problems, such as:
* Bulging or ruptured disks. Disks act as cushions between the vertebrae in your spine. Sometimes, the soft material inside a disk may bulge out of place or rupture and press on a nerve. But many people who have bulging or herniated disks experience no pain from the condition.
* Sciatica. If a bulging or herniated disk presses on the main nerve that travels down your leg, it can cause sciatica — sharp, shooting pain through the buttock and back of the leg.
* Arthritis. The joints most commonly affected by osteoarthritis are the hips, hands, knees and lower back. In some cases arthritis in the spine can lead to a narrowing of the space around the spinal cord, a condition called spinal stenosis.
* Skeletal irregularities. Back pain can occur if your spine curves in an abnormal way. If the natural curves in your spine become exaggerated, your upper back may look abnormally rounded or your lower back may arch excessively. Scoliosis, a condition in which your spine curves to the side, also may lead to back pain.
* Osteoporosis. Compression fractures of your spine’s vertebrae can occur if your bones become porous and brittle.
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Friday, July 11th, 2008
Back pain is a common complaint. Four out of five people in the United States will experience low back pain at least once during their lives. It’s one of the most common reasons people go to the doctor or miss work.
On the bright side, you can prevent most back pain. If prevention fails, simple home treatment and proper body mechanics will often heal your back within a few weeks and keep it functional for the long haul. Surgery is rarely needed to treat back pain.
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Monday, July 7th, 2008
We try to do everything in this 21 century — filling our lives with a dozen of activities that tax our bodies and emotions. Multi-tasking is the norm with organizing busy schedules at work, for family and for our social life has become a daily task.
To stay and go on running in the rat race, you must be prepared to endure aches and pains all over your body as well as the lumps and swelling — sure signs of overwork and stress.
Another cause of lower back pain for runners is the thought that running is about going forward, okay of course it is, but it doesnt require you to push forward to do it. Running is really about passing a force into the ground and using the hip, inflamed knee and ankle joints to translate that into a forward motion.
Stiff and swollen joints make it difficult to do any bending. Pain in the knees are usually worse in the morning or after a long period of inactivity. Knee joints are often affected by arthritis.
Muscle pain can be caused by many conditions. The most commo is a “ strain” where the muscle is stretched beyond its maximum length resulting in injury. Muscle pain is most frequently related to tension or muscle injury any physically-demanding work. When muscle pain last beyond the expected healing time, it is then best to consult your doctor.
Every now and then you might be having muscle cramps and if you are working for quite some time and it also involves some heavy work that you might be experiencing a sensation of your muscles making you so tired and there is a decreased in your muscular performance. The underlying cause of muscle fatigue can fall into two categories: central and local.
Regular exercise can help restore proper muscle tone. A good physical therapist can teach you stretching, aerobic exercises to feel a lot better. You can also do it yourself by cycling, swimming and walking. Warm up before you do any kind oe exercising. Do some stretching. Drink lots of fluids before and after exercising. You can overcome muscle fatigue by dieting, getting adequate rest and taking supplements or nutritional stimulants such as caffeine. If you work in the same position most of the day like sitting in front of the computer, get up and do some stretching at least every hour.
Taking some acetaminophen, aspirin or other non-steroidal anti-inflammatory drugs (Cyclobenzaprine, Soma) can also be helpful in pain relief. Workouts in the gym to strengthen the back and shoulders can help restore a good balance.
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Sunday, July 6th, 2008
Typically the first choice in drug treatment of fibromyalgia has consisted of an antidepressant or a muscle relaxant. The goal has been to improve sleep and pain tolerance. Medications from other drug classes (such as sleeping aids and pain relievers) may also be prescribed. Patients receive drug treatments in combination with exercise, patient education, and behavioral therapies. In 2007 the Food and Drug Administration approved Pregabalin as the first drug for the treatment of fibromyalgia.
Targeting Pressure Points and Stretching Techniques
Trigger-Point Injections.
In some cases, “trigger-point injections” of an anesthetic such as lidocaine may be used for particularly painful tender points as an aid to stretching.
* The injection causes intense, transient pain in the trigger point. After the medication has taken effect, however, the ability to stretch the muscle is greatly enhanced.
* There is some soreness afterward, which can be severe. After an injection, spraying the whole muscle with cooling agents may inactivate less severe tender points.
* In some cases, injections may be needed two or three times over six to eight weeks.
The benefits of this treatment may not be apparent immediately.
Although antidepressants do not work for all fibromyalgia patients, a 2001 analysis of 10 studies reported that antidepressants can also help relieve pain, fatigue, and insomnia in about 25% of patients. None have been well researched for fibromyalgia, however. It should be noted that some patients report worse symptoms with antidepressants.
The two main classes of antidepressants used for fibromyalgia are the tricyclics and selective serotonin-reuptake inhibitors (SSRIs). Tricyclics are better at reducing pain and the SSRIs for relieving depression. Doses used specifically for fibromyalgia in nondepressed patients are often lower than for depression, so combinations may be an option. In fact, benefits may be strongest with combinations of the tricyclics and SSRIs.
Tricyclics not only help relieve depression but they also have properties that reduce sleeplessness and muscle pain. The tricyclic drug most commonly used for fibromyalgia is amitriptyline (Elavil), which produces modest benefits with pain, but which can lose effectiveness over time. Other tricyclics include desipramine, doxepin, imipramine, amoxapine, and nortriptyline.
Generally only small doses are necessary for relief of fibromyalgia, so, although tricyclics have a number of side effects, they may occur less frequently in fibromyalgia patients than in those taking tricyclics for depression. Side effects most often reported include dry mouth, blurred vision, sexual dysfunction, weight gain, difficulty in urinating, disturbances in heart rhythm, drowsiness, and dizziness. Like all medications, tricyclics must be taken as directed; overdose can be life threatening.
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Thursday, July 3rd, 2008
What is it?
Most everyone at one time or another develops pain in the neck or in the back. Usually, an activity brings on the pain, and the pain typically improves with rest. There are simple ways to bring relief and a few important signs that indicate when pain is more than a simple strain. Chronic pain usually gets worse despite bed rest, wakes you in the middle of the night, progresses despite medication and interferes with daily activity.
How bad is it?
Pain is a very good messenger. It tells us that something is wrong. The more mysterious it is, the more likely it is to be significant, either by itself or as an indicator of some other condition. Back and neck pain come in all degrees; from a brief, mild ache after a day of painting the ceiling to a crippling years-long misery that defies potent pain-relievers, intense physical therapy and even surgery.
What causes it?
Most back and neck pain is easily recognized as the result of overdoing some activity. It is amazing what the human body can be trained to do, but it is equally amazing how incapable it is of doing something it is not accustomed to.
There are two categories of strain that cause nearly identical pain - acute and cumulative. We all know what weekend warriors feel like on Monday morning, whether they just dug up the garden or began the tennis season. But there is a more insidious type of strain that takes many days or even months to notice. Cumulative stress injuries (CSI) in the workplace are now being recognized as major causes of disability and work loss. The human body is not used to the many activities required of us today. Probably the first CSI to be recognized was the pitcher’s elbow in baseball. Little leagues won’t let children pitch more than a few innings because of the strain it puts on their arm.
Another more common CSI is carpal tunnel syndrome, often the result of hours a day at a keyboard. The back and the neck can suffer similar strains by remaining in certain positions for long periods. The whole science of ergonomics has been developed to prevent these repetitive stress injuries by designing furniture and appliances that place body parts in the optimum position for working.
Not knowing immediately what brought on your current discomfort is the first warning sign to take a pain seriously. Some pains that seem to be coming from the spine are actually referred there from elsewhere inside the body. For instance, a sick gall bladder can masquerade as a strain of the mid-back and usually hurts just beneath the right shoulder blade. Heart attacks can mimic neck pains that pinch nerves going into the left arm.
Other symptoms that accompany the pain are more clues. Some of the most important are related to all nerves that pass through your spine on their way between the brain and the rest of your body. These nerves send feelings in one direction and movement commands in the other. If either of these functions - feeling or movement - is disturbed, something serious is happening. Numbness is the most common failure of feeling, and weakness is the most common disturbance of movement. Certain changes in feeling such as tingling, burning or extreme sensitivity are also signs of nerve problems. Paralysis is the extreme form of weakness. The urinary bladder can also be affected by nerve damage related to back pain. So if your back pain comes with inability to control urinating, there is likely to be a significant relationship between the two.
How do I know I have it?
The important question is: How do you know what is causing it? If your pain is clearly related to what you are doing and has no peculiarities like numbness or weakness associated with it, chances are it’s just mechanical strain. But you should see a doctor for any pain that lasts more than a few days without improving, that has no obvious cause, that gets worse without provocation or that has associated symptoms.
What can I do about it?
If you decide to seek professional care for unusual spinal pain, first get a competent diagnosis from a doctor. This may require X-rays or special scans (CT or MRI) to identify unusual and serious causes such as tumors or bone and joint disease. When nothing beyond mechanical strain can be found, the first and foremost intervention is a good posture and exercise program. Secondly, for the more serious mechanical spinal pains, such as whiplash neck injuries and chronic low back pain that is crippling, a variety of helpful and sometimes controversial treatments are available. Osteopathic/chiropractic manipulations and acupuncture have helped some patients but have also failed in others. The foundation for treatment remains an accurate diagnosis.
Starting new activities
Your body is able to do extraordinary things but not all at once. Remember two things about any physical activity:
* If you are in generally good shape, new activities will be better tolerated.
* Begin any activity gradually.
The first point doesn’t require more than common sense - 15 to 30 minutes a day of anything that tires you out is good. Swimming is close to ideal because you use everything at once, without being able to overuse or abuse anything. Water provides resistance without being as hard on the joints like pavement.
When starting new activities, you should start slowly and briefly. But each beginning should be preceded with a warm-up. Jog in place. Stretch the muscles you will be using. Plan your time.
Points to remember
* Nearly all back and neck pains are because of unwise over-activity.
* If you pay attention, your pain will tell you how serious it is.
* Seek medical advice if there is anything unusual about your pain.
* Stay in good shape and use common sense when beginning new activities.
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Sunday, June 29th, 2008
There are a number of classes within the Benzodiazepines Category: Hypnotic, Anxiolytic, Anti-Seizure, Muscle-Relaxant, and Amnesic.
The Muscle Relaxant category is more common because so many people are prescribed drugs such as Flexeril and Valium. The addictions to these drugs and withdrawal from the drugs are among some of the most avoided topics within Drug Addiction. Depending on the addiction and “flavor” of choice, to walk away from Benzodiazepines will require prolonged treatment, but only after a detoxification to be remembered.
It is a tough drug to get completely out of the system.
3 Symptoms of the Addiction
1. Unable to cope without the drug
2. Overly concerned with where the medication is at any given time
3. Increasing dose over time
3 Possible Treatment Options
1. Use of SSRI’s to help in Detox
2. Taper off the drug
3. Homeopathic Remedies
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