Physiotherapy and Pain Management of Pain Syndromes

Posted By Jonathan Blood Smyth
Categoirzed Under: Fitness
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by Jonathan Blood Smyth

The medical model of injury and illness is the dominant way of thinking about medical problems. When we are hurt we and the doctor search for the faulty structure, diagnose the type of fault present and aim treatment at rectifying this fault and return the area to normal. If we have a broken bone, a chest infection, a heart attack or an arthritic knee we expect the treatment to either cure the problem completely or to minimise the symptoms. Overall this approach works extremely well but it falls down when presented with a series of pain conditions which do not fit the model and are resistant to normal treatment.

Normal tissue injury pain occurs when the injured area transmits a volley of pain impulses up towards the spinal cord nerves in the back, which take the signals and carry them on towards the brain. The volleys of incoming pain excite the spinal cord nerves strongly and they react by amplifying their reactions to them, giving us higher levels of pain. We then protect the area, it settles and heals and the system settles down to its normal state. However, some conditions do not fit this picture, do not have a precipitating injury or event and do not settle down with time, fitting poorly into the normal picture. These pain syndromes are not well understood or diagnosed.

Typical pain syndromes are complex regional pain syndrome (CRPS), chronic widespread pain (CWP) and fibromyalgia syndrome (FMS). CRPS occurs after minor or moderate injury to a limb such as the ankle or wrist and the underlying reasons are not well understood. In the wrist the person may be in plaster for a few weeks for a minor fracture or sprain but complains of high levels of pain and has difficulty keeping the fingers moving. The fingers are stiff and swollen and moving them elicits significant pain, at which stage immobilisation is removed if possible to allow rehabilitation.

Chronic widespread pain occurs, as the title implies, all over the body, with multiple trigger points in muscle bellies. Trigger points are areas of acute sensitivity to pressure which occur in specific places in muscles and can refer pain away from those sites causing a persistent pain condition. Physiotherapists treat trigger point pain with acupuncture, acupressure, stretches and positional advice. Fibromyalgia syndrome occurs mostly in women, and consists of widespread pain, fatigue, hypersensitivity to pressure, poor sleep, feeling unrestored in the morning, “brain fog”, IBS, reduced physical ability and pain unpredictability.

A clinical psychologist is vital if successful management of people with pain syndromes is to be accomplished as they will tend to produce anxiety, anger, low mood and depression. Patients exhibit poor coping, non-assertive behaviour, aggression, negative thinking and difficulties sticking to a therapy plan. A history of abuse, both in adult relationships or as a child, is common especially in FMS and can have a dominant effect on the patient’s approach and their relationships with others. Helping these patients through this time needs a clinical psychologist and treatment solely from a physio is unlikely to be helpful.

A FMS pain management programme covers several psychological skills and strategies, including pacing activity, realistic and negative thinking, assertiveness and communication skills, mindfulness and acceptance, goal setting and planning, validation of the reality of the condition and reduction of isolation by meeting others with the same condition. Passive communication with families, friends and others is very common and this leads to anger and frustration as they are unable to make their needs clear. The overall very negative nature of the pain experience leads to a negative bias in thinking about the world and their problems.

Pain syndromes are not amenable to normal medical management but medication can be helpful if it does not increase mental confusion or fatigue. Drugs such as amitriptyline, used initially for depression, are given to reduce pain and improve sleep. A graded exercise programme, guided by a physiotherapist, can improve strength, fitness and so functional ability. Patients report stretching is helpful and especially so if the pain is severe enough to preclude exercise. Pain syndrome sufferers benefit from a multi-disciplinary approach and a structured strategy.

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How To Use Quick Fix Diets

Posted By Keeley Roberts
Categoirzed Under: Weight loss
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by Keeley Roberts

Big night out and clothes don’t fit. We have all been there. Can we lose this weight without having to resort to a quick fix diet? Yes if we have the relevant information.

Firstly you must have a plan, set a date to start your diet, tell friends and family you are planning to lose weight. If you do this you will be prepared mentally for the days you really want to give up. It is important that you want to lose weight for yourself and not because someone else thinks you should. Take time to review your lifestyle and decide which diet and exercise plan will fit into your schedule.

Make sure you have a good exercise plan organised. Always try and exercise in the morning as this way you will burn all the calories and fat off from the night before.

Nutrition plays an important factor when embarking on any diet plan, especially a quick fix diet. Processed foods contain high levels of sodium which cause fluid to be retained. Eliminate these from your diet wherever possible.

Change your eating habits from snacking on a bag of crisps to snacking on fruits and vegetables. It is important that you drink plenty of water with your diet plan, and with a quick weight loss diet solution it is critical. Water flushes out the body and keeps it hydrated. This is crucial to maintaining your health while on a quick weight loss diet plan.

Chart your quick diet loss plans in different places in your home. This is a really good visual reminder of your goals and will hopefully stop you resorting to quick fix diets. Buy a special piece of clothing that is in the size you wish to be and hang it where you can see it everyday. This will give you incentive to stick to your diet.

The worst place to eat your meal is slumped in front of the television. It has been proven that if you do you will overeat. Try not to eat to late in the evening and the best way to avoid both of these is to plan your meal times in advance so you don’t get caught out on the hop.

Before you start any diet always make sure it is suitable for you. Not every diet will suit everyone. If you are in any doubt seek the appropriate medical advice. Plan the onset of your weight loss plan and you should be able to stay away from quick fix diets.

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Weight loss, health by changing your lifestyle habits

Posted By Ada Denis
Categoirzed Under: Weight loss
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by Ada Denis

Many diet an exercise programs today are marketed with a definitive beginning and end in mind. They are named such things as “Better body in 12 weeks”, or the “2 week soup diet” or any number of different names that imply that you will be a different person upon completion of the exercise program or diet.

These books and courses contain much useful information but I feel they can mislead a potential customer. The simple truth is that upon completion of these diets or exercise programs - if you resume your old lifestyle habits - you will get the same results as before. In order to have long term, lasting, health and weight loss you simply must change your lifestyle forever.

This is where most people jump ship. Please don’t! I have been working on changing my lifestyle habits for years and I have learned some things that I think will help you change yours. It does not have to be an arduous task where you eat things you don’t like and perform exercises that make you miserable. Changing your lifestyle habits will open you up to new experiences in food and activity that you will find deeply rewarding and satisfying.

Let’s start with your eating habits. By tackling a bad habit food or two per month you will start to develop healthy eating habits while developing a taste for more wholesome foods. You will also start to lose your taste for nutritiously void, over processed foods. An example would be: For the next 30 days - have a small side salad or a yogurt instead of fries with your lunch. Replace your cola or tea with pure water.

These are small steps that you should find relatively easy to accomplish for the next 30 days. 30 Days is a magic number in that it takes about that long to establish a habit. You could potentially replace 24 bad eating habits with healthy habits over the next 12 months. Imagine what that could do for your health!

You will also experience a change in your tastes and a change in what your body craves. Nowadays, I cringe at the thought of a French fry squirting grease as I bite into it. On the other hand, I love eating a Banana and some almonds before my workout.

Education will motivate you. When you learn how destructive certain foods can be to your weight and health it motivates you to change. If you are not sure which choices are healthy or if you need to learn more so that you can make better food substitutions - Visit our top weight loss site for many articles on nutrition and eating.

Next let’s deal with movement. The body was designed to move but our hectic lifestyles leave us little time or energy to work in a cardiovascular workout. We have to tackle exercise the same way we are tackling our bad eating habits.

For the next 30 days park as far away from your office as you can. For the next 30 days take the stairs instead of the elevator. Are you starting to get the point? You will develop a good exercise habit per month that will lead to life long, permanent change.

Let’s have a quick recap

1. For 30 days substitute an unhealthy food choice with a healthy food choice.

2. Try 2 food choices per month and then add two more the next month.

3. Continue to educate yourself in nutrition and learn to read labels. Know that there is more to food than fat grams and carbs. You may be eating things you think are healthy that are nothing more than nutritiously void stomach fillers.

4. Start adding extra movement to your day in 30 day segments.

5. Realize that every little bit counts. Don′t discount something because it only adds 50 steps to your day. Those 50 steps will add up as you add extra movements every 30 days.

6. When you feel ready, consider joining a gym or exercise class

I have used these techniques to slowly change my eating habits and exercise habits over the years. One year from now you could be eating healthier, incorporating exercise into your day and feeling great.

Can a Person Control Own Actions During Manic Depression

Posted By Louis Soul
Categoirzed Under: Depression
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by Louis Soul

Also known as bipolar depression, manic depression as it is more commonly known is probably the worst form of depression.

You may even know someone who suffers form it as they are prone to sudden changes in their moods and you may find that sometimes they are really low and at other times almost hyperactive. Although many of us can experience occasions where dramatic mood swings can occur, this is often caused by short term stress at work or pre-menstrual tension for example. Regular and continual changes in a person’s temperament are a sure sign of depression that doctors now check for.

When a suspected depressed individual changes to someone who will become angry or annoyed at minor events and become very irritable then the chances are they are suffering with manic depression. The so-called manic in manic depression is described as to be the times when a person suffering from bipolar depression may experience periods of heightened energy. Irritability and argumentative behavior is never far away from this condition though and may even become aggressive. To make matters worse, the manic depressive patient when in this elevated mood may even carry on with sudden periods of elation for almost a week.

Symptoms of real depression are shown by the sufferer when they are feeling low and sometimes bipolar depressives are misdiagnosed when they are seen in this condition. Part of the problem stems from the fact that when in the depressed condition they may experience the situation common to depressed patients when they feel unwanted and of no use. It is not uncommon for many of the more serious mental aspects of depression to take hold such as extreme guilt, pessimism and sadness for their situation. Over time the diagnosis of this condition has been refined and behavioral therapists now consider that a person suffering from any of these symptoms for as little as a week consistently is a possible manic depressive candidate.

In spite of being one of the most common, yet severe type of depressive disorder, manic depression can actually be treated. Catching this condition early enough is the key to successful treatment and by following the doctor’s orders to the letter, it can be overcome. Drugs alone will not help cure this condition and it is equally important that the sufferer must not feel isolated so access to their doctor is imperative so that reassurance and available advice can be given.

It is true that natural remedies can be useful but the importance of their cognitive behavioral therapist cannot be underestimated as the real reason that the manic victims condition is improving. Psychiatrists especially those that specialize in cognitive behavioral therapy are still the best hope for a person with bipolar depression. Cognitive behavior therapists are probably the most likely professionals able to cure manic depression.

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Does Your New Boyfriend Have Snoring Problems

Posted By Marie Martin
Categoirzed Under: Fitness
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by Marie Martin

Is your new boyfriend’s snoring problems keeping you up all night? Does it seem as though you are not getting the beauty sleep that you need? If you want to learn how to put an end to your new boyfriend’s snoring problems then this may be the most important piece of information that you read today.

If you have suddenly been caught in this dilema then there are some things that you can begin doing right now so that you do not lose anymore sleep. I know how frustrating it can be to not get the proper amount of sleep that your body needs.

This is no laughing matter people of all ages and sex are affected by this sleeping disorder. It does not matter how old or who you are; there are millions of people in our society who seem to have this problem more and more everyday. One of the main reasons that people in our society are affected by this condition is because we are overweight.

If you currently have a new boyfriend and they are suffering from snoring problems then chances are you are suffering as well. Even though you are not the one who is waking up with a sore throat; you are waking up feeling tired and groggy.

If you have come to the internet in hopes of finding a cure for your loved one’s snoring problems you are not alone. Millions of people suffer from this condition and most of them are searching the internet on a daily basis hoping to find a drug free cure so that they can begin to sleep better. This is going to be the best information you receive today because we will reveal in our site below some proven methods to stop snoring.

You may not know some of the techniques that we will reveal about how to begin sleeping peacefully at night. You will wake up feeling like you slept like a baby. Your relationship with your new boyfriend will improve because you will not be irritated at him anymore.

There are several types of methods that we discuss in the site below such as using exercises to stop the snoring. You may not believe it but it is very possible to perform certain exercises for at least 5-10 minutes per day and eventually notice your problems disappear.

If you are snoring then it is time to find out why you are suffering from these snoring problems. The loud noises that are coming from your body are just another way for your body to alert you that there may be other health related problems going on. It is time that you find out what your body is trying to tell you.

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