(ĐTĐ) - It is generally a good idea to get more exercise. Most of us can use more activity in our lifestyle. To do this, many of us will use a treadmill. It means we can stay indoors, which is excellent when the weather is bad. It may also be more convenient, since treadmills will often be located in a gym or fitness area at work.
 

29/10/2014 - 17:39

The Pain of Shingles

Written by

(ĐTĐ) - You might think that as an adult you’re safe from the chicken pox, but there’s a grown-up version of everything. Shingles is a viral infection of the nerves that is caused by the same virus as the chicken pox; people who had that itchy illness as a child sometimes get shingles later in life as the virus reactivates.
 

(ĐTĐ) - People who suffer from chronic leg pain are only too aware of how much this problem can interfere with daily activities. Chronic leg pain is the term used to describe a variety of problems that cause an individual discomfort in their legs, and there are a number of different reasons as to why this can happen.
 

(ĐTĐ) - The definition of a headache is pain that is arising from the upper neck or head. This pain comes from the tissues and other structures surrounding the brain because the brain actually has no nerves that the sensation of pain can come from.
 

28/09/2014 - 17:13

Preventing Shin Pain

Written by

(ĐTĐ) - Shin pain is a fairly common occurrence, particularly for athletes. While there are a number of potential causes of shin pain, one of the most common causes is shin splints. Knowing that shin splints are common, however, is cold comfort to a patient experiencing this pain. So what can one do to prevent shin splints?
 

(ĐTĐ) - The myofascial pain syndrome is a medical condition that is as real as it is mysterious. Although it is acknowledged as a medical condition in its full rights, the harsh truth is that no research has been able to reveal precisely what its causes are.
 

(ĐTĐ) - Carpal tunnel syndrome is caused by the compression of the median nerve which runs through the carpal tunnel in the wrist. Its causes are uncertain, but it’s generally assumed that any position that causes stress on the nerve can be a cause. It is often worse from flexing the wrist. The syndrome causes a feeling of numbness and pain in the thumb, pointer finger, long finger and parts of the ring finger. The only digit unaffected is the pinkie finger.

Tiếng Việt >>

Carpal tunnel syndrome is diagnosed largely from the presence of suspect symptoms, like pain and numbness in the hand. To increase certainty, the syndrome does not have a blood test, but there are physical tests that a doctor will ask you to perform. The doctor actually also has some electrical tests that he or she can use as well.

Given our modern dependence on typing, carpal tunnel syndrome has become a more common issue.

Nerve Conduction velocity test

This isn’t a test specifically for carpal tunnel syndrome, but it is used to check for abnormalities in nerve responses that might indicate the presence of the syndrome. In this test, an electrical current is introduced to the nervous system and the speed with which it reaches nerves “downstream” is measured. A slow response is indicative of some kind of issue with the nervous system. The electrical stimulus is generally introduced through electrodes placed on the patient’s skin.

Electromyogram test

This is often conducted at the same time as the Nerve Conduction Velocity test. It is a test specifically designed to find any muscular conditions that may be mimicking nervous conditions. Muscles also produce electrical signals when they are active, and so electrical abnormalities might also point to muscular issues rather than nervous conditions like carpal tunnel syndrome.

Blood tests

While, as mentioned, there isn’t a specific blood test to test for carpal tunnel, there are tests to check related issues. There is something thyroid hormone levels, a test to check blood sugar and protein analysis. As stated, none of these will be definitive of carpal tunnel, but they can point to it being more or less likely.

X-Rays

Again, because carpal tunnel syndrome is a nervous condition, X-rays will not be able to find it specifically. However, they can find bone and joint abnormalities in the bones of your wrist and therefore are able to give an indication that the syndrome exists.

Physical examination

However, the main indication that is used for diagnosis of carpal tunnel syndrome is the existence and medical examination of physical symptoms. This will include a general examination of the area as well as more specific physical tests.

A physical exam with a focus on your neck, arms, wrists, and hands is done if there is tingling, numbness, weakness, or pain of the fingers, thumb, or hand. The exam is to help find out whether your symptoms are caused by compression of the median nerve as it passes through the carpal tunnel in the wrist.

During this examination, a doctor will also examine your wrists and hands to compare the strength and appearance of both sides. You will then be asked to pinch an object so your doctor can see and check your thumb for strength and movement during this movement.

Not only is it important to isolate issues you are having in your hand from muscular or other physiological problems, it is also necessary to ensure that your pain is being caused by the median nerve rather than a different nerve in another part of your body. The neck, especially, can mimic carpal tunnel issues, so if your doctor suspects neck-related problems, he or she will also check your neck for possible nerve compression.

Tinel’s sign test

This test dates back to the early 1900s when physiologist Paul Hoffman found that mild percussion of an injured nerve could illicit the sensation of “pins and needles,” or a feeling like an electrical shock.

Your doctor taps on the inside of your wrist over the median nerve. If you feel tingling, numbness, “pins and needles,” or a mild “electrical shock” sensation in your hand when tapped on the wrist, you may have carpal tunnel syndrome.

Phalen’s sign test

This test dates to the 1950s when physiologist George S. Phalen describe a new method for diagnosing carpal tunnel syndrome. The sensations caused by Tinel’s test might be caused by different nerves and not necessarily the median nerve which is affected by carpal tunnel syndrome. Therefore, by using Phalen’s test as well, you could be more specific with your diagnosis.

In the test, you will hold your arms out in front of you and then flex your wrists, letting your hands hang down for about 60 seconds. If you feel tingling, numbness, or pain in the fingers within 60 seconds, you may have carpal tunnel syndrome.

Two-point discrimination test

This test is used when severe carpal tunnel syndrome is suspected. It is not very accurate for mild carpal tunnel syndrome. To do the test, your doctor has you close your eyes and then uses small instruments, such as the tips of two opened paper clips, to touch two points (fairly close together) on your hand or finger. Typically, you would feel separate touches if the two points are at least 0.5 cm (0.2 in.) apart. In severe carpal tunnel syndrome, you may not be able to tell the difference between the two touches, so it may feel as though only one place is being touched.

Given our modern dependence on typing, carpal tunnel syndrome has become a more common issue. While treatment may be as straightforward as simply stopping the activity which causes the syndrome, sometimes more serious measures are required. These can include surgery to alleviate your symptoms, so it is good to be aware and catch the syndrome early, before it becomes severe enough to require more drastic measures to treat.

Source Chronicbodypain.net

(ĐTĐ) - Sciatica is the largest nerve is your body. This nerve that runs from nerve root of the spinal cord, down the lower lumbar region of your back, across your buttocks. From there it travels down the backside of your legs, branching off into the feet and toes. When this large nerve’s pinched, it causes excruciating pain that can radiate down the length of the nerve.
 

Sometimes the pain is a burning, numbness or tingling that is felt in the buttocks, hips and legs but not the lower back. These pains seem too intense when a person is walking, bending, lifting, stooping over, coughing, standing, straining or sitting for a long time. This pain can become so severe that even the slightest movement’s painful.

What are the causes of this type of nerve pain? What are some the treatment options available? You will find the answers to all your questions in the following paragraphs.

What’s Causing Me to have so Much Pain?

  • An injury can cause this type of pain. It doesn’t have to be a major accident, just enough that the nerve becomes pinched which causes irritation and inflammation.
  • Sciatica nerve pain can also occur if you’re pregnant and the extra weight’s compromised the nerve.
  • An infection, muscle, bone, or tumor pressing on the nerve might cause inflammation, swelling which will cause this type of pain.
  • Some other causes include herniated disk, at the lumbar region that’s pressed and irritated the nerve, and as radiculppathy which is an abnormal intervertebral disk

How will the Doctor Know?

The doctor will first get a medical history, and then he will do his exam. With the symptoms you are experiencing, and his finding, he will make a diagnoses. Once completed, he will order some type of imaging like MRI, x ray or CT scan to the cause.

What Medicines Will Relieve My Pain?

The doctor will first prescribe bed rest. 70 % of patient’s improves with resting. He might advise you to try over the counter non-steroid anti-inflammatory medicines like, Motrin, Aleve and naproxen. These will reduce the irritation and swelling, which reduces the pain. He might suggest topical NSAID sports creams. If your pain’s real severe, he might prescribe muscle relaxers, or a stronger pain medicine. Some even prescribed a combination of anti-convulsing anti-depressant. This combination has been shown to work well to alleviate pain. The doctor may put you on a central nervous system depressant. This decreases the neuron pain signals to the brain.

Top 10 Remedies For Pain Relief

Some people use ice packs on the inflamed nerve. Never apply ice directly to the skin. Leave it on for 20 minutes, then remove for a half hour. Warm, moist heat works well. There are several ways to accomplish this. Soaking in a nice warm tub of water relieves soreness. You can also apply warm, moist heat with a hot water bottle.

Be sure it isn’t too hot and the lid is secure. Never apply the water bottle directly to the skin. A damp towel warmed up in the microwave will work just as well. Be sure not to get it too hot. Rice packs warmed in a microwave is effective. The rice socks stay warmer, longer than a towel.

Some use biofeedback to relieve stress and pain. Biofeedback is where a physical therapist attaches electrodes to different areas of a person’s body and then to a device. This device to get \measures your body’s response to different stimuli by recording heart rate, blood pressure, respirations, tension in your muscles, temperature and brain waves.

The machine will then make different noises as these things change. With the physical therapist’s help, you will be able to learn how to control these body functions, which will help control your pain.

Many people find that massaging the deep tissue helps relieve their pain. Using a nice warmed stress relieving herbal oil will enhance the massage. I suggest Rosemary, Jasmine, Rose or lavender. Others use a deep pressure massage. This applies pressure to specific areas to relieve the pain. Tennis balls work well with this type of massage.

Be sure not to apply too much pressure and don’t overwork the muscle afterwards. Some say a warm bath before this type of massage works best to alleviate some of the possible bruising, while others say a bath afterwards helps to relieve any of the remaining pain.

Some people find that acupuncture helps with their sciatica nerve pain. What happens is a chiropractor places tiny needles in varying pressure point areas of your body. Many believe this will overload the nerve receptors, which will decrease the pain signals. While other people believe it works because it stimulates your body into releasing different chemicals in your body and that relieves the pain. Although the exact reason why this therapy works is unknown, studies show it does relieve pain and helps with a lot of other aliments as well. Sometimes when a person stretches, this will move the obstruction that is pinching the nerve, which will help with pain relief.

The 10 Best Herbs to Relieve Sciatica Pain

Sometimes the best cure is found in Mother Nature herself. If fact Herbal medicines was once the only source of treatment, but as penicillin and other medicines was introduced the herbs were forgotten. Now with all the drug recalls, many are turning to alternative, holistic medicines. I’ve listed the ten best herbs to help relieve sciatica pain.

  1. Rue is well known for its relief of sciatica pain.
  2. Wild lettuce helps relieve pain and it helps with insomnia.
  3. Willow it’s an anti-inflammatory herb.
  4. Skullcap it helps with stress, anxiety, fatigue pain and insomnia.
  5. Meadow sweet alienates pain.
  6. Black pepper helps relieve pain.
  7. Mullein root is used for nerve pain, for muscle spasms.
  8. Black birch is a pain reliever and it helps with digestive issues.
  9. St Johns wart helps with nervousness, anxiety, fatigue and pain.
  10. Wintergreen massage into the affected area to help relieve pain and swelling.
Source Chronicbodypain.net 
07/08/2014 - 17:13

Identifying Sural neuritis

Written by

(ĐTĐ) - The sural nerve runs down through the center of the calf muscle and is one of five nerves that provide sensation to the foot. It travels down the back of the leg, over the Achilles tendon, and then along the outside of the foot to the end of the little toe. Comparatively, it is a fairly minor nerve, since it only provides sensation on the outside of the foot and areas between the 4th and 5th toes.
 

Sural Nerve Pain Causes

While the nerve may be minor in scope, it is capable of creating a fair amount of pain and discomfort when it is irritated. Though anyone can develop this condition, it is often related to surgery in the area. When it isn’t caused by surgery, it will often be athletes who will develop it, since they regularly put stress on the area. Luckily, they are also on the look-out for foot related nerve conditions, and see doctors familiar with athletic issues on a regular basis.

Because the nerve is just under the skin, it is particularly susceptible to compression from tight shoes that put stress on the Achilles tendon. The sural nerve can be compressed between the tendon and the shoe, and the pressure can then cause something called neuritis.

Sural neuritis can also be caused by something called “entrapment.” What this refers to is when the nerve becomes tangled in scar tissue which then puts pressure on the nerve and creates pulling. This is, in fact, more serious than pressure created by a shoe. For one thing, this is a great deal more difficult to relieve. For another, the scar tissue involved is often the result of surgery in the area, so the sural neuritis can actually be conceived of as a negative side effect of surgery.

There are several likely surgical culprits that might cause sural neuritis. The most common are Achilles tendon lengthening surgery, Achilles tendon surgical repair after a torn tendon, ankle fracture surgery for a broken ankle, flatfoot surgery and fifth metatarsal fracture surgery. This list isn’t exhaustive, but it’s reasonably well known that neuritis is a risk when these surgeries are conducted.

Sural Nerve Pain Symptoms

The symptoms of sural nerve entrapment are fairly straight-forward. Generally, the symptoms are pain, and/or a numb or tingling feeling on the outside of the foot. This will only rarely have an effect on your gait, but it can definitely cause a great deal of discomfort.

Unfortunately, this can develop over time, and so people may not feel motivated to get this treated right away. In addition, this may present in combination with other pain from foot exertions, so people may just see this as a standard part of the achiness that comes with being on your feet too much.

Sural Nerve Pain Diagnosis

Because this is such a specific kind of irritation in such a small area, the diagnosis of this condition is not necessarily that difficult. That said, there still isn’t a positive test for neuritis, and your doctor will need to engage in a process of elimination. What that means is that they will investigate your symptoms and then use tests to rule out other causes. Also, because of the nerve’s location, problems with the sural nerve may easily be confused with Achilles tendon issues instead.

Especially confusing is that sural neuritis can often present as Achilles tendinitis. However, this is more to do with pronation or supination of the ankle, rather than nerve issues. So, at least, there are physical symptoms that one might be able to observe.

One of the tests that is done, is called the Tinel’s test. What this involves is percussion at the site of the nerve, in this case, the ankle. If the percussion results in tingling, pins and needles or electric shock sensations in the area, then the test is positive. A positive test is a sign of neuritis.

More technical measures might include radiography. This will rule out problems with the bones in the area. It may pick up evidence of arthritis or stress fractures that are causing you pain, and are more serious conditions.

It might be required for you to get a magnetic resonance imaging test as well. These will be used to eliminate the soft tissues in the area as the source of your issues.

Finally, your doctor may also decide to use diagnostic nerve blocks on the area. The nerve block will do just that, blocking sensations of pain and discomfort from being transmitted to the brain. The nerve is anaesthetized and then the remaining pain is assessed. If your pain is ultimately relieved by putting the sural nerve to sleep, there is a very good chance that the sural nerve is the source of your problems.

Sural Nerve Pain Treatment

Treatment can involve self-care measures, medication and also more radical measures, like surgery might be required. Like a regular type of injury, the sural nerve will respond to cold temperatures. The first thing to do is to apply ice to the area to ease irritation and inflammation of the nerve.

Make sure your shoes aren’t responsible for the compression. If your footwear has straps or seams that press on the Achilles tendon, then it’s time to replace them.

You can also start taking non-steroidal anti-inflammatory drugs like ibuprofen. These drugs are not only pain relievers, they also act to reduce inflammation, which will relieve both the irritation and pressure on your sural nerve.

Your doctor may also decide that steroid injections as well. These are done to relieve inflammation, so it will relieve the stress on the nerve.

Finally, if there are no other options left, then it is possible that surgery may be used to release the nerve from entrapment. As in most conditions, surgery is a last resort, undertaken when there don’t seem to be other measures that will be helpful.

Source Chronicbodypain.net 

(ĐTĐ) - Paresthesia is a term referring to a burning or prickling sensation that people may experience within their legs, arms, hands or feet. It may also occur in other parts of their body. The sensation, sometimes, occurs without warning and is a mostly painless sensation. It’s best described by its tingling, numbness and distinct skin crawling feeling.
 

Most people actually experience a temporary form of paresthesia when they sit with their legs crossed or sleep with their arm underneath their head for too long. That’s why many people feel a brief ‘pins and needles’ sensation when they constrict the blood flow, muscles and even nerves of their limbs in that way.

People also feel ‘pins and needles’ when they place prolonged pressure on any of their nerves. The sensation, however, does fade away once the pressure gets relieved. Though, paresthesia is a condition that doesn’t fade away like its temporary version. The chronic version of paresthesia doesn’t fade away as fast, and it’s often a symptom of an underlying neurological condition or even traumatic nerve damage.

A look at chronic paresthesia

Chronic paresthesia, also known as intermittent paresthesia, may originate from disorders that affect the central nervous system, such as transient ischemic attacks or strokes, multiple sclerosis or encephalitis. Vascular lesions or tumor-like growths may press against a person’s spinal cord or brain and cause paresthesia to develop. However, the development of paresthesia from those conditions is considered rare. In most cases, paresthesia develops after a person experiences nerve damage from infections, trauma, inflammation or other conditions. To fully understand how paresthesia develops in people, we invites our readers to take a look at the causes of the condition in the next section.

The causes and symptoms of paresthesia

Paresthesia is an interesting condition in that its symptoms originate from a wide range of possibilities. In other words, paresthesia may have many potential causes. In the last section, we mentioned some of paresthesia’s potential causes. Here’s a brief look at more potential causes:

  • Migraines
  • Menopause
  • Malnutrition
  • Alcoholism
  • Dehydration
  • Fibromyalgia
  • Nerve irritation
  • Multiple sclerosis

Some rare causes of paresthesia may include:

  • Fabry disease
  • Lyme disease infection
  • Beta-alanine ingestion
  • Heavy metal poisoning
  • Lidocaine poisoning
  • Guillain-Barre Syndrome

Paresthesia also has orthopedic causes, typically originating from conditions that may injure and/or damage the nerves. Those causes include back or neck injuries, bone fractures, herniated discs, osteoporosis, nerve pressure or entrapment and degenerative disc disease. Many of the aforementioned causes make people with paresthesia develop symptoms. While paresthesia is considered a symptom of many conditions, the condition itself makes people experience symptoms. When paresthesia is caused by another condition, people with paresthesia may experience symptoms related to that aforementioned condition; in rare cases, those symptoms might worsen their paresthesia symptoms.

Common symptoms of paresthesia typically include:

  • Itching, numbness and tingling
  • Foot drop
  • Crawling sensation within the skin
  • ‘Sleeping’ limbs, including the arms and legs
  • Restless leg syndrome
  • Muscular atrophy
  • Dysarthria
  • Ocular dysmetria

Doctors typically diagnose paresthesia based on a person’s medical history, a complete physical examination and/or laboratory testing. This typically helps them find the suspected cause of the condition. Paresthesia may cause complications. Since it often develops from diseases affecting the nervous system or nerve damage, people with paresthesia need to seek immediate treatment to prevent themselves from experiencing any complications that might lead to permanent damage.

Some of those complications may include permanent or chronic pain, disabilities (involving mobility), paralysis, an inability to independently breathe and a permanent loss of sensation. Of course, treatment for paresthesia helps people avoid contracting permanent or chronic complications from the condition. In the next section, we’re going to review some of those treatments.

A look at treatments for paresthesia

Treatment for paresthesia is based on the diagnosis of the condition, meaning people with different diagnoses relating to paresthesia will have different recommended treatments for their symptoms. People with limbs that fall asleep, due to paresthesia, may be recommended stretching, exercising or massaging for their affected limbs. This helps eliminate their tingling sensations and feelings of numbness. People who have paresthesia originating from another chronic disease may be recommended treatments aimed at providing relief for their symptoms.

Anti-inflammatory medications, such as ibuprofen or aspirin, are commonly recommended for people with mild paresthesia. Severe cases of paresthesia require stronger medications. Antidepressants, such as amitriptyline, are typically given to patients with the aforementioned form of paresthesia. They’re typically administered at lower doses than what they’d be administered for depression relief. That’s because the low dosages affect how people perceive pain within their body, providing potential relief to the parts of their body affected by paresthesia. Those with worsening paresthesia may be given opium derivatives like codeine to relieve pain.

Human nerve growth factor and paresthesia?

Human nerve growth factor, a small secreted protein, may play a role in paresthesia treatment in the future. This small secreted protein is important for the survival, growth and maintenance of specific neurons or nerve cells, while also functioning as a signaling molecule. As of now, it’s known to prevent or reduce neural degeneration from neruodegenerative diseases in animal models.

Due to those results, many medical researchers are exploring the possibility of human nerve growth factor playing a role in helping heal nerve degradation and restore damaged nerves. It may be a key element in paresthesia treatment in the future, in addition to treatment for conditions like depression, dementia, depression, schizophrenia and autism.

Several alternative treatments for paresthesia also exist. They mainly help with relieving the immediate symptoms of the condition.

Nutritional therapy involves the use of vitamin supplements. Vitamin supplements, like B-complex vitamins, can help restore the nervous system’s normal functions. Interestingly enough, B-complex vitamins like B6 should be used as directed, since an overdose of B6 is known to cause paresthesia.

Acupuncture and massages also help relief paresthesia in different ways. It’s suggested to find a massage therapist or acupuncture specialists who are trained in performing their corresponding treatments on people with paresthesia.

Self-massages also provide short term relief. Massages with aromatic oils have a soothing effect, especially when using essential oils with an active effect that soothes the skin and underlying tissue. Some essential oils that may provide relief for paresthesia and other types of nerve pain include peppermint, sandalwood, chamomile, lavender and marjoram.

Source Chronicbodypain.net 
Page 1 of 5

Latest Items