Postpartum Back Pain: Can Spinal Injections Cause Chronic Pain?

Many women receive spinal blocks, also called nerve blocks or spinal injections, during C-section births to relieve pain and allow them to stay alert. There is some debate over whether or not these injections can lead to chronic postpartum back pain.

Spinal blocks are administered through a long, thin needle filled with anesthetic and/or narcotics that is injected into the spine in the lower back. It is meant to numb the nerves that sense pain and send signals to and from the lower body and abdomen.

Since the injection is administered below the spinal cord, or the bundle of nerves that runs along the upper half of the spine, nerve damage is considered rare and implausible. However, internet forums are full of mothers with sciatica-like postpartum back pain who feel pain centered around the site of their injection.

It is undeniable that many women who have had C-sections experience lower back pain and sciatica pain. The question is: Is this pain related to spinal injection?

It is, unfortunately, not possible to say for sure. We have reason to believe, however, that having an injection may increase your risk of postpartum back pain, but not necessarily due to the needle itself. It is possible that the position women are put in to receive the injection is the source of pain. Some doctors put a wedge underneath one side of he buttock while the injection is administered, and this tilted position needs to be held for a few minutes. See the case study at http://www.sciencedirect.com/science/article/pii/S0959289X06000501 for more information on this potential cause of post-Cesarean back pain.

Another potential culprit of pain is the position assumed after delivery. Women who have C-sections spend the following days recovering, which involves a lot of sitting. Since the abdomen has been stretched during pregnancy and injured during delivery, the abdominal muscles are not able to assist in supporting the weight of the upper body. This strains muscles in the back and hips, possibly leading to piriformis syndrome. This is characterized by tightness of the piriformis muscle deep within the buttocks that places pressure on the sciatic nerve. See a relevant case study at http://linkinghub.elsevier.com/retrieve/pii/S1098733904000434.

It is rare but possible that the injection caused damage to the sciatic nerve. Sciatic nerve damage manifests as tingling, numbness, weakness and, in extreme cases, loss of function of the lower body, bladder and bowels.

There are numerous potential causes of back pain, especially for women who have given birth. Postpartum back pain could be related to additional weight straining muscles and changing posture, the delivery itself, or spinal injection. It is important to be knowledgeable about the potential causes of your back pain; while some doctors may dismiss it as a normal aftermath of delivery, it may be abnormal and become chronic. Take pain seriously, and educate yourself on possible causes and treatments.

Latest in Chronic Fatigue Syndrome Treatments

Chronic fatigue syndrome treatments involve lifestyle changes, exercise, drug therapy, cognitive therapy, and bodywork. That's the conventional treatment. Patients are advised to practice good sleep hygiene, eat proper diet, do few movements as their exercise, and do frequent rest in-between each exercise session. Traditionally, they are also given sleeping pills, antidepressants, stimulants, muscle relaxants, beta blockers, anticonvulsants and vasopressors to manage symptoms accordingly. But did you know that there are newer approaches to treat chronic fatigue syndrome?

There is one antiviral drug that is approved by FDA to combat cytomegalovirus. It is called Valcyte. It has also shown to be effective against Epstein-Barr virus and herpes virus 6 which may account for a number of chronic fatigue syndrome cases.

Another drug that is used for narcolepsy is being used now as one of the chronic fatigue syndrome treatments. Provigil is a central nervous system (CNS) acting drug, and CFS patients who take it feel that they are more alert. Some reports also claim that they have increased tolerance to exercise with the use of Provigil.

Since patients with chronic fatigue syndrome tend to have lower blood volume, they experience hypotension and rapid heart rate as their body compensates. To address this, certain measures are done. Before, only vasopressors like midodrine are prescribed to increase one's blood pressure. Nowadays, methylphenidate, epoetin alfa and tyrosine may also be prescribed along with vasopressors. Tyrosine is an amino acid found to have an effect in circulating blood volume. Methylphenidate is a drug of choice for ADHD, but is also used to increase blood pressure. Epoetin alfa is injected to stimulate the growth of erythrocytes, thereby increasing the blood volume and blood pressure. Sometimes, beta blockers are used to increase blood pressure, although it is more common as an antihypertensive. Patients are also advised to increase their salt and water intake if they have low blood pressures so that water may be retained in the body, thus blood volume is increased.

Though these newer chronic fatigue syndrome treatments are available, they are still under research, therefore conventional treatment options should still be used. Exercise is one part of the treatment options that should not be missed. People with CFS cannot tolerate usual exercise programs, thus their program should be individualized. They should also avoid extremes, which mean that they cannot overdo or totally avoid exercise. A matter of balance between their daily activities is all they need. They must divide their exercise into 2-3 sessions per day so that they can take rests in between.

Counseling and cognitive therapy is another part of chronic fatigue syndrome treatments that should not be disregarded. Usually, this chronic condition is related to a patient's psychological health. Therefore, issues about grief or anger should be identified and properly managed. Doctors also have to correct ill beliefs and behaviors of patients so this therapy is really needed so that they can cope with stress. Support groups are always available for chronic fatigue patients to help them with their social needs.

Chronic Sciatica - What is it and How Can You Deal With Chronic Sciatica Effectively Right Now?

Chronic sciatica is a condition which is characterized by constant consistent pain in your lower back, buttocks or lower part of your leg. It may also occur in a graduating manner starting from your lower back, passing through your buttocks and ending at your leg.

The reason why it occurs within this region is because this is the pathway where the longest nerve in the human body (called the sciatic nerve) resides. Once this nerve becomes pinched (due to the inflammation of the surrounding muscles), you begin to feel the pain you feel.

Other reasons why this condition may occur is due to spinal disc herniation, injury from an automobile accident, improper posture, the Piriformis syndrome, or spinal tumors, among others.

You are not alone in the world or in your pain as there are millions of people the world over who are daily battling with excruciatingly painful chronic sciatica. Statistics indicate that in the US alone, over eight million adults suffer from this condition. It also constitutes the second most common reason why people visit with their doctors daily.

So now that you are aware of what chronic back pain is and the many conditions that cause it, let us move into how you can deal with it. Below you will find 3 methods which you can apply to combat the pain.

TIP: Read on till the end to discover how to access a secret method to ensure that this condition will never plague you again...ever. Read on...

#1. Physical Therapy - Is one of the most common and most effective methods for dealing with this condition. Physical therapy involves both passive and active parts to it but let us look at the active part solely; you may engage in performing zero to low impact exercise routines (stretching and strengthening routines), swimming, aerobics, yoga, tai chi, and the like.

#2. NSAIDs - Taking of over the counter non steroidal anti inflammatory drugs (NSAIDs) is another very popular method for combating the pain also. Examples of these include; Advil, Ibuprofen, Tylenol and so on.

#3. Herbs - Very ancient and proven effective through the ages, herbs are also fantastic in stopping the pain in your back. Examples of some herbs which you may opt for include; valerian, wintergreen, willow, devil's claw, capsaicin, turmeric, etcetera.

While the above methods are effective in curing the pain, do yourself a favor and get rid of this pain forever before it destroys your life completely. Read on to discover how you can do this...

FACT: Most conventional treatments for sciatica only work as a temporary band aid solution; they all fail to work in the long run!

Epstein Barr Virus (EBV) And Fibromyalgia (FM)

Many symptoms of fibromyalgia are similar to those of EBV. These overlapping symptoms include fatigue, recurrent headaches, muscle pain, joint pain and sleep disorders. These common symptoms raise the question of whether EBV is a causative agent in fibromyalgia.

Some physicians and patients believe that EBV is a trigger for fibromyalgia. Others pinpoint an association with other viruses like coxsackie virus, parovirus and HIV. Other people have noted that physical or emotional stress can trigger FM.

Because of similar symptoms, many chronic EBV patients are not diagnosed correctly if they also develop fibromyalgia. It is important to be aware of the diagnostic criteria for fibromyalgia so you can discern if your symptoms are due to EBV or FM.

The most important diagnostic symptom for FM is pain in specific areas of the body including hips, collar bones and inside of the knees and elbows. The pain is symmetrical meaning it appears on both sides of the body. Experiencing significant pain when someone presses on these areas is indicative of this condition. In many patients even a gentle touch will elicit the pain response.

Standard medical treatment of FM is the prescription of pain killers, graded exercise and behavioral interventions. This can help relieve symptoms although the results are often transient.

The alternative approach to treating fibromyalgia is along the same lines as that for treating EBV. Natural treatment aims at re-balancing the immune system with nutrients, herbs, essential oils, graded exercise, stress management and the restoration of healthy sleep patterns.

Let's have a look at some of the natural approaches to treating both EBV and fibromyalgia:

Nutrition

To repair the adrenals and improve energy levels, nutrients like vitamin C, the B complex and magnesium are traditionally used. Magnesium particularly is showing good results in relaxing the muscles of the body and bringing pain relief.

Malic acid has been shown to be low in FM sufferers so should be taken as a supplement. It is also found in fruits like apples which have a sour or tart taste.

Diet

A low carbohydrate / high protein diet should be adhered to. Anti-inflammatory foods like ginger, turmeric, fish oils, raw pineapple and paw paw should be included regularly in the diet. Plenty of water should be drunk to flush acids and toxins out of the body.

Sugar, alcohol, coffee and processed foods should be avoided. If there is joint pain then the nightshade family of foods including tomatoes, eggplant, potatoes and capsicum should be reduced or eliminated for optimal results.

Herbs

Herbs like chamomile, hops, skullcap and valerian can help relax the body and restore normal sleep patterns.

Graded exercise

Gentle, low impact exercise like swimming, walking, yoga and tai chi can improve circulation and healing to affected muscles and joints. Massage and epsom salt baths can also help to relieve muscle tension and aid in a good night's sleep.

Stress management

Dealing with stress through techniques like meditation, visualization, yoga, deep breathing or talking with a counsellor can go a long way in managing the symptoms of both EBV and fibromyalgia. Stress heightens pain so it is vital that it is addressed.

Treating Chronic Fatigue Syndrome With Acupuncture

Chronic fatigue syndrome (CFS), also known as chronic fatigue immune deficiency syndrome, is a complex disease involving multiple systems in the body. It is a condition that affects the neurological system, immune system, and the muscular systems of the body. There is no known cause, no medical test to identify it, as well as no known medical treatment. CFS affects one million people in the United States according to the Centers for Disease control, while approximately ten million people have symptoms similar to chronic fatigue but do not meet the full criteria. It is believed to affect more women than men, although anyone can be diagnosed. Acupuncture and Chinese medicine can offer relief for the symptoms of chronic fatigue syndrome and help patients return to a full and balanced life.

To be diagnosed with CFS, a patient must have (according to the Centers for Disease Control):

1)Severe, chronic fatigue for at least six months and have ruled out any other possible medical causes of the fatigue

2)At least four of the following symptoms:

• a decrease in short-term memory

• inability to concentrate

• sore throat

• tender lymph nodes

• muscle pain

• multiple joint pain with the absence of swelling or redness

• headaches

• poor sleep

• malaise that becomes worse with exertion

• mild fever

There are other medical conditions that may present with symptoms similar to CFS, making it difficult to diagnose:

• Myalgic encephalomyelitis

• Chronic mononucleosis

• Post-viral fatigue

• Multiple chemical sensitivities

• Fibromyalgia syndrome

• Neurasthenia

In Chinese medicine, CFS generally has a root pattern of a liver-spleen disharmony. The liver stagnation may be due to stress, anger, insufficient blood or insufficient yang to nourish the liver properly. The spleen deficiency can be due to a poor diet, excessive taxation, excessive worrying, lack of physical exercise, or the liver stagnation depleting the spleen's Qi.

To treat CFS, there are acupuncture points on the body, arms, and legs that can help smooth out and course the liver Qi as well as help boost the spleen Qi. Herbal therapy may also help as there are several formulas that can treat the complex pattern. Furthermore, nutritional counseling may also be offered to help the patient eat foods that will treat the root pattern and avoid fatigue. Acupuncture and Chinese medicine can also help with any other symptoms that a patient may experience with CFS, such as depression, insomnia, or anxiety. The treatments can also complement the conventional treatments a patient may be undergoing with their doctor. By using acupuncture and Chinese medicine, patients may experience more energy, which in turn can help elevate the mood, make exercise and physical activity tolerable, as well as help restore the patient to the life they desire.

Chronic Fatigue Syndrome Test

Unfortunately, those who suffer from Chronic Fatigue Syndrome have no definitive way to test for the condition to see if they truly have it. The only true way to really check to see if you are suffering from Chronic Fatigue Syndrome is by professional observance of the symptoms you are having, and to undergo a blood test at your doctor's office. Viruses such as the Epstein Barr virus, chemical imbalances in the body, or other illnesses such as cancer or infections has been thought to contribute or to cause the condition.

Since there is no definitive test that can tell whether or not a person may have it, there are some common symptoms associated with CFS such as extreme tiredness, weakness, drowsiness, depression, anxiety, appetite loss, mood swings, body aches, constant headaches, memory loss, and confusion. Compiling these symptoms along with blood work can be an indicator that a person may have the condition.

A blood test to determine if your body is chemically balanced is often recommended by physicians. If there is a chemical imbalance, certain supplements or foods can be added to your diet to help balance it out. Some health care professionals believe that a chemically imbalanced body can cause Chronic Fatigue Syndrome.

Undergoing a simple wellness checkup by your doctor may help determine whether or not you are suffering from CFS. During your wellness checkup, symptoms can be documented that may point to CFS. Some doctors may then determine to test for viral or bacterial infections as well. They may even do blood test or some other test to see if you possibly could have cancer or a disease that could be causing symptoms of Chronic Fatigue Syndrome.

Once the symptoms and causes are determined, the condition can often be treated or sometimes even cured. If you are suffering from the symptoms of this condition, be sure to consult with your doctor about the best way to test for and treat Chronic Fatigue Syndrome.

Chronic Fatigue Syndrome Diet Tips

Chronic fatigue syndrome can refer to any prolonged feeling of exhaustion regardless of physical and mental activity done each day. Often an individual suffering from this disorder will have trouble feeling rested despite hours in bed each night. This disorder is common and there are several ways to counter the symptoms. The easiest way to try and cure Chronic Fatigue Syndrome on your own is to change your diet habits.

There are right and wrong types of food and beverages to consume when you have Chronic Fatigue Syndrome. It is important to make these lifestyle changes slowly. Sometimes a radical change in diet can worsen the problem and as such, small steps need to be made. Eating a balanced diet will help a patient stay healthy. This diet must be rich in fruits, vegetables, grains, protein, and dairy unless there are any associated allergies. All these food groups are important and those who eat healthier often have more restful sleep and have better overall health.

Protein makes up approximately 25% of cells and tissue. It is responsible for some of the hormones and enzymes that keep the body going throughout the day. If a patient with chronic Fatigue Syndrome doesn't get enough protein in their diet, it may cause the appearance or worsening of symptoms.

Getting enough calcium will help reduce or eliminate any bodily pains from loss of bone density. This may take time to see the effects but eventually the pain will lessen and you may get a more restful night of sleep. Drinking milk is one of the easiest ways to get calcium into the body. Another great beverage would be orange juice or any drink that is high in vitamin C. This vitamin will boost your immune system which may also lead to a better night of sleep.

There are certain foods known to trigger or worsen symptom of CFS. These food items mostly include refined sugars and foods that are high in calories. Other products such as alcohol, tobacco, and caffeine have also been known to increase or begin symptoms of the disorder. Any caffeine or sugary foods can surely impact the sleep routine of an individual.

Eating a balanced diet that is especially high in protein and calcium can alleviate bodily aches and pains. Getting enough vitamin C each day will help boost the immune system. By eating well and eliminating foods that negatively affect the disorder, a patient may begin to rest better and become less fatigued.

Fibromyalgia - The Start of Understanding the Beast Within

In my quest for gathering information to share with my fellow "Fibromytes" I've found it hard to find a starting point. There are so many aspects of Fibromyalgia and the plethora of medical conditions that accompany it, it makes it hard to trudge through all the important facts because, to me, and I assume to you, all of it is important. Every ache and pain we feel changes the way we live and in most instances, is connected to another ache or pain.

So, I will start with the basics and in future articles, will cover every last detail that might make a difference to someone in how they manage their pain, find an appropriate doctor, understand the symptoms and causes, and delve into all the treatment options that are out there today.

Fibromyalgia Syndrome (FM) is a common, chronic pain condition of the soft tissue. It shows persistent, widespread pain and tenderness to tender points located in the soft tissue of the musculoskeletal framework. Symptoms can include insomnia, cognitive dysfunction, depression, anxiety, recurrent headaches (migraine or tensions), dizziness, fatigue, morning stiffness, numbness & tingling in extremities, irritable bowel syndrome, restless leg syndrome, myofascial pain (I will explain in depth in my next article), irritable bladder syndrome & more.

There are a few experts that I follow closely and I consider them my "fibro heroes". Mainly, because they are at the top in the field, but also because they were the first that helped me understand my pain and gave me validation - my pain is real.

One of those experts is I. Jon Russell at the University of Texas Health and Science Center in San Antonio, Texas. He has studied the abnormalities of particular key neurochemicals in the brain and the central nervous system. One specific neurochemical called Substance P, a neurochemical in the brain, sends signals to the brain to register pain. He discovered that this agent is found in Fibromyalgia patients at a level three times higher than in the average person. He also found that the neurotransmitter, serotonin, which decreases the intensity of pain signals sent to the brain, is apparently lacking in FM patients. This is important research and is ongoing, but many researchers agree that this could be key to how Fibromyalgia is treated and many drugs that are prescribed today work to increase the levels of serotonin in the brain. - New Developments in the Management of Fibromyalgia Syndrome 2003

Serotonin levels are of utmost importance. If you have too little, you hurt more and it can cause depression & anxiety. If you have too much, you can get Serotonin Syndrome, which can be deadly. I dedicated a page on my website to Serotonin alone.

There are many treatments out there for FM and each person can respond differently to any given treatment. So, it is important for you and your doctor to find the treatment that really works for you and reevaluate your treatment every 6 months to a year. Some medications or treatments may become ineffective over time and changes might need to be made. If you feel something isn't working for you or may be causing side effects or interactions, talk to your doctor immediately. Life is too short to take chances with your health! I have had to change medications and supplements many times in my life with FM. It's just a part of it.

Start managing your Fibromyalgia instead of letting it manage you!

Stressed Out and Depressed! Counseling Can Help You Cope With Fibromyalgia & Chronic Pain

I cannot stress enough how important it is to get the right coping skills and help in order to keep from giving up or giving in. People with Fibromyalgia Syndrome (FM), Chronic Myofascial Pain (CMP) and any other chronic pain conditions, can benefit from counseling by a certified therapist for: stressful life conditions, depression and/or anxiety, abuse histories, adjustment issue to chronic illness, poor support system and many other challenges we face.

There is a connection between FM, CMP and depression. The stress from constant pain and fatigue can cause anxiety, depression, inactivity and social isolation. It is also possible that anxiety and depression are part of FM and CMP, just like the pain. Depression and chronic pain can greatly interfere with the way you cope with activities at home or at work. As a sufferer myself, I know exactly what that's like.

Chronic pain sufferers most often need a combination of medications (I am on an anti-depressant and several other meds), alternative therapies, cognitive behavioral therapy, and a change in lifestyle habits. So it is important to openly discuss any symptoms of depression you have with our doctors. Medication is not enough by itself and some prescription drugs make our depression and anxiety worse.

Some people with fibromyalgia and chronic pain may be aware they are depressed. Others may not realize they are depressed, but they know something is just is not right.

Researchers have found that fibromyalgia patients have an inability to process and handle stress. Studies have shown that the breakdown in the adrenals, hypothalamus, pituitary and thyroid glands play a key role in FM patients' lack of coping mechanisms. Not only does chronic pain cause enormous stress in our lives, but we are unable to manage it.

All people have stress in their lives which may be unavoidable. FM and other chronic pain sufferers have even more. Counseling and/or stress management can help us cope with our symptoms and improve our overall reactions to stress.

I have been seeing a certified therapist that has really helped me discover some of the issues that may contribute to my pain. It's also not just about the here and now, but past experiences that we think are in the past, are really still simmering in our sub-conscious, affecting our emotional state and our inability to cope with the stress that's right in front of us. I resisted therapy for years! I did not want to go to yet another doctor that I would have to convince that my pain is real and not "all in my head". It took seeing several different counselors before I found one that REALLY GOT IT! It feels like a GREAT weigh has been lifted off my shoulders. My stress and anxiety are becoming manageable and I feel less and less depressed.

Counselors trained in treating FM and other chronic pain patients can be very helpful, but we have to put in some work ourselves. Its not easy to make the changes required to make therapy successful, but we need to correct the self-defeating thoughts and actions that have led us to seek help from a professional in the first place.

Research shows that a combined multidisciplinary treatment approach is the most effective way to achieve symptom relief. There is no cure for fibromyalgia, but there is hope if we seek and get the right help! Counseling can really make a difference along with the other treatments you may be receiving!

The Best and Natural Chronic Pelvic Pain Treatment

CPP or Chronic Pelvic Pain has become a global concern. In America alone, every year myriad Americans are hospitalized for the treatment of chronic pelvic pain which is acute and painful. This type of CPP occurs in the abdomen of the patients. You will feel the pain just below the umbilical chord for over 5 months.

It is really painful and you need to take care of your body to minimize the chance of being affected by this physical discomfiture. You should remember that it is not a disease but it is a sort type of symptom which should be detected at an early stage to rescue your body from the utter deterioration.

If you like to get natural chronic pelvic pain treatment, you should select the experienced and competent healthcare consultant. He will give you vital feedback and medical advice in relation to CPP. There are a number of causes of the CPP in human body and it will be better for you to build up your conception about the side effects and negative impact of Chronic Pelvic Pain.

Prostatitis, chronic orchalgia and prostatodynia are the main causes of enhancing the possibility of the occurrence of the Chronic Pelvic Pain. Endometriosis and pelvic adhesion are some of the causes of the CPP in human body.

Due to the unsteady growth of the uterus for which the uterus line intersects or meets the fallopian tube, you can experience the episode of the painful and caustic chronic pelvic pain. Owing to the superb technological advancement and the upgradation of the scientific research, a number of sophisticated medical appliances and tools including medicines have enriched the whole chronic pelvic pain treatment process.

The chronic pelvic pain treatment will be successfully done through the proper usage of the modern equipment, devices and the medications. Basically, women whose average age group ranges from 26 -30 years are under the onset of the CPP. They suffer from pelvic inflammatory disease or infection which attacks the uterus section. CPP is very common physical discomfiture to females.

As a part of chronic pelvic pain treatment, the application of antidepressant medications will be much more conducive to the removal of the CPP disease. In this connection you can also opt for ibuprofen which is a type of nonsteroidal anti-inflammatory medicine and it will work better for the termination of the CPP.

You can also undergo Psychophysiological therapy which covers the different spheres of stress management system, counseling and biofeedback. Biofeedback can be applied in right combination with the proper dosage of the medication to reduce the severe pain in the pelvic zone.

Ultrasound is such a sophisticated tool/device which will help the diagnosis of the CPP affected area. You can also try your luck by opting for Tizanidine which will speed up the betterment and improvement of the inhibitory functionality in CNS (central nervous system). It will act as a pain deduction medication.

Pelvic Floor Physical Therapy is also very helpful to minimize the intensity and severity of CPP treatment. Chronic pelvic pain syndrome treatment will perform excellently to terminate this CPP disease from your body. Lastly, you can consume the herbal tea to get relief from the acute pelvic pain. Stress management program will rescue from the pitiable condition. It will help you to revitalize yourself to fight against the CPP.

Minimize Fibromyalgia Symptoms

Fibromyalgia sufferers does not get enough sleep. They cannot achieve the regular sleep cycles needed to a complete rest. They tend to wake during the cycle where the body should be repairing itself.

What is fibromyalgia?

It is a condition where there is pain almost anywhere in the body; muscles, tendons and ligaments. It's a non progressive condition but symptoms vary widely from day to day, severe worsening of symptoms may creep in anytime. It affects more women than men and worst of all it has no cure. The only remedy is to relieve the sufferers from the symptoms.

This condition is also called fibrositis, psychogenic rheumatism and chronic muscle pain syndrome.

What are the symptoms of people afflicted with fibromyalgia?

There are many and mostly are associated with pain. Headaches, muscle pains, needle like tingling in the skin, facial pains, feels pain when the skin is touched, chest pains, painful menstrual periods, abdominal pain and nerve pain.

Symptoms not associated with pain are dizziness, sensitivity to the senses, difficulty concentrating, changes in mood, dry eyes, dry skin, dry mouth, functional bowel disturbances, experiences cognitive dysfunction, short and long term memory problems and chronic sleep disturbances.

Sleep disturbances

In order to have quality sleep and rest, our body needs to undergo at least 3 sleep cycles. Each cycle is comprised of different brain wave activities. The first stage of a cycle is the alpha state where brain waves are slower than the waking state. Next is the theta state where the brain waves are lower still. The last state is the delta state or deep sleep. Then the cycle is repeated but the alpha state is replaced with the REM sleep.

The delta state or deep sleep state is the most important with regards to repairing the body, balancing hormones and removing stress chemicals to name a few.

When the delta sleep stage comes, 'alpha wave bursts' interrupt the sleep prohibiting fibromyaglia patients to enter the deep sleep state. Because the sufferers lack this delta sleep, the body is unable to activate the repair mechanisms resulting in fatigue and weakness the following day.

Relief

Analgesics, anti-depressants and muscle relaxants can help in relieving fibromyalgia patients. These are used only to relieve the symptoms but not to cure the syndrome.

To be able to enter the delta state or deep sleep, experts suggest to make the sleeping environment as comfortable as possible. The room should be well ventilated, the temperature adjusted to a comfortable level, free from loud noise or music and a comfortable bed or mattress.

A bed or mattress is a big factor in attaining a restful sleep. Some mattresses provides uneven pressure points to your body making you toss and turn to find a comfortable position at different times during the sleep period. Some mattresses like air types and memory foam mattresses gives you the best support for your skeletal muscles. Pressure is evenly distributed to your body giving you great comfort.

To relieve fibromyaglia sufferers from weakness and fatigue, it is advisable to promote favorable sleeping conditions so that they can reach their delta sleep state.

Treatment of a Compound Fractures; Reflex Sympathetic Dystrophy/Chronic Regional Pain Syndrome pt.3

This is my continuing story about my experience of the treatment of a compound fractures.

I just sat there crying because there was no way I could possibly afford that. I thought then too how very lucky I was for it not being worse. I also thought about the plight of a lot of Americans without health insurance. I felt helpless.

"It is possible that the doctor might agree to set it in his office." the attendants finally said. Now there were quite a few because they were genuinely concerned for me. Sweet.

I could go to see the doctor in three days and he would decide then if it was possible, keep it elevated and the swelling down they said.

The day of the doctors visit my sister took me and we both waited to hear the doctors verdict. "Yes, I will attempt to do this for you." the doctor said to my relief. YAY!

YAY?

OK! The doctor gave me a shot into my broken arm, ewww! He put my fingers into a contraption that looked like a bunch of Chinese finger puzzles hanging from chains connected to a pole. I was told to try to relax my arm and let it hang, ewww! Twenty minutes or so went by and the doctor announced that we were ready to go.

My sister held my hand. I announced that I would tell a story I remembered about a dragon on the beach that I had met in California. A fairy tale to some but I am convinced to this day it is a true story.

My sister cried and I cried as I told the story of the dragon and the doctor pulled, pulled on my arm. Do I have to add ewww here? EWWW!

The bone was set, an ex-ray showed it took. YAY! Treatment of a compound fractures done. A cast was put on my arm, purple was my choice. The total bill came to almost twenty five hundred dollars.

I will continue this story under another heading. I received severe nerve damage, Reflex Sympathetic Dystrophy/Chronic Regional Pain Syndrome and have had to climb that uphill trail. I am an artist, yes, right handed. It has been difficult this recovery but I am able to paint again. My hand will never be the same but I am grateful that I can paint.

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Hypothyroidism, Fibromyalgia, and Chronic Fatigue Syndrome

There are numerous similarities between the conditions hypothyroidism, fibromyalgia, and chronic fatigue syndrome. Millions of people have these conditions, and while hypothyroidism can usually be measured through thyroid blood tests, there are no blood tests which can determine whether someone has fibromyalgia or chronic fatigue syndrome. As a result, many doctors dismiss these latter conditions as not being "real" disorders. Fortunately more and more doctors are realizing that people with fibromyalgia and CFS have real conditions, although most still don't know how to successfully treat such conditions.

One thing I've learned in my 10+ years of being a holistic doctor is that you can't rely on blood tests alone. So with conditions such as fibromyalgia and CFS, just because the blood tests are negative (which they usually are) doesn't mean much. But the same thing holds true with hypothyroidism, as even the thyroid blood tests aren't completely reliable. Paying attention to the patient's symptoms is extremely important. But too many medical doctors are reliant on the blood tests alone, and don't pay much attention to their patient's symptoms.

Finding The Cause Of These "Incurable" Conditions

Most medical doctors label hypothyroidism and fibromyalgia as being incurable. So when someone receives positive thyroid blood tests which indicate the person is hypothyroid, that person will be told to take synthetic or natural thyroid hormone for the rest of their life. In most cases nothing will be done to find the underlying cause of the condition, although many people with hypothyroidism can have their health restored back to normal through a natural thyroid treatment protocol.

Natural treatment methods can also help many people with fibromyalgia and chronic fatigue syndrome. And when I talk about natural treatments, I'm not just talking about taking nutritional supplements and herbs. While nutritional supplements and herbs play an important role in the recovery process, taking these alone won't restore the health of someone with these conditions. In fact, it could be risky to self-treat your condition by taking supplements and herbs.

Four Bodily Systems Which May Be Causing Your Condition

With hypothyroidism, fibromyalgia, and CFS, there are four main areas of the body which can be causing or contributing to these conditions:

1. Adrenal Glands. Most people with hypothyroidism, fibromyalgia, and/or CFS have weak adrenal glands. Most endocrinologists and other types of medical doctors don't look at adrenal health, but weak adrenal glands can lead to many different health issues, and will need to be addressed if there is any possibility of curing one's condition. Fortunately, this can be determined through a test called the Adrenal Stress Index (ASI), which is through the company Diagnos-Techs. If it has been determined that you have weak adrenal glands this can usually be corrected by modifying certain lifestyle factors, and also through proper adrenal support.

2. Steroid Hormones. An imbalance in hormones such as progesterone, estrogen, testosterone, and/or DHEA can also contribute to these conditions. Many holistic doctors recommend bioidentical hormones to correct these hormone imbalances. While bioidientical hormones can help greatly at times, they usually don't provide a permanent cure to a hormone imbalance. So if they are given to a person it should be on a temporary basis. Following a certain natural treatment protocol will usually correct such a hormone imbalance.

3. Immune System. A compromised immune can be a factor in these conditions as well. When someone with hypothyroidism has a compromised immune system it frequently leads to a condition called Hashimoto's Thyroiditis. But people with fibromyalgia and CHF frequently have compromised immune systems as well. And to no surprise, most medical doctors do nothing to address a compromised immune system.

4. Digestive System. Proper digestion is extremely important with these conditions as well. While a poorly functioning digestive system might not be the direct cause of hypothyroidism, fibromyalgia, or CFS, if one can't properly digest the foods they eat and any nutritional supplements they need to take, then it's pointless to follow a natural treatment protocol. So one of the main goals for anyone with these conditions is to correct any digestive issues they may have.

For Optimal Results Consult With A Competent Natural Endocrine Doctor

Instead of trying to self-treat your condition, I highly recommend consulting with a competent natural endocrine doctor. This type of doctor isn't easy to find, but a good natural endocrine doctor will fully evaluate your condition to determine the underlying cause of the disorder, and if they feel as if you're a candidate for natural treatment methods they will put you on an individualized treatment plan.

In summary, people with hypothyroidism, fibromyalgia, and/or chronic fatigue syndrome can frequently have their health restored back to normal through a natural treatment protocol. Such a protocol can admittedly be a challenge to follow, as it does involve taking responsibility for your health. But if you're determined to restore your health to normal then there is a good chance you will benefit from natural treatment methods.

Facts About Complex Regional Pain Syndrome

This disease is not common but it is definitely chronic. It mostly affects women between the age group of 40 to 60. The initial symptoms are mild but the signs are predominant and the doctors confirm it through a MRI scan, blood tests, etc. The initial symptom experienced is a burning feeling in one of the arms or legs and this part becomes hypersensitive in a period of time. The pain reaches unbearable levels and sometimes in rare cases it also causes muscle atrophy. The patients often describe the pain to a doctor as a combination of electric shocks with immense unbearable burning sensation.

In the advanced stages, even a mere touch on the affected part or a bump or exposure to adverse changes in temperature can trigger off the unbearable pain. This pain is also accompanied by skin inflammation and also visible changes in the skin. The irony is that for some patients there are frequent attacks and episodes of this disease but for some gifted people they disappear completely after some months.

There are some common symptoms which are seen on the onset of this painful disease called complex regional pain syndrome. Firstly, there is a definite and noticeable change in skin temperature and the appearance of the skin. Mostly the victims have clammy hands due to excessive sweating. The skin color shows some noticeable changes.For example, they change to different shades like from a pale color to pink and sometimes acquires a blue tinge. The surface of the skin looks too shiny and it also appears to be very thin.

There are visible and extreme changes in the growth of nail and hair. They either grow at a very slow pace or show abnormal speed in growth. The patients have severe joint pains as the joints become stiff due to immobility and they also become inflamed and red.

Some of the diagnostic tests taken by the doctors to confirm complex regional pain syndrome are Bone scan test, Sweat test, Thermography, Sympathetic nervous system tests, etc. The treatment shows favorable results only if it is done at the very onset of the disease for example, as soon as the initial symptoms are evident.

Understanding Fibromyalgia Chronic Fatigue

Patients with Fibromyalgia chronic fatigue are lucky to fall asleep at a normal time. They're often borderline insomniacs, up until five or six in the morning, usually cat-napping randomly throughout the day. They feel like they're missing out on quality REM sleep and as a result, always feel slightly lethargic and mentally dull.

The other part of this disorder or the specific "Fibromyalgia Syndrome" symptoms is widespread pain and areas of tenderness. Headaches and depression are not uncommon in patients as well. The root cause of this disorder is still under debate in many research circles, but sleeping pills have been shown to help in treatment.

In a recent issue of The Journal of Neuroscience, researchers reported their findings of a Fibromyalgia chronic fatigue study. They examined the brain activity of a pain-free group of test subjects, as well as a chronic pain group who were instructed to watch a bar move across a computer screen. What they found from watching brain scans of the pain-free people was that their brain activity appeared balanced.

However, for the people with Fibromyalgia and chronic pain, there was wild brain activity confined to one area and the same continuous pathways again and again. The mind seemed almost trained to repeat the same patterns, thereby "wearing out" the pain sensors in that area, making sufferers more susceptible to future pain.

In one of Dr. Muhammad Yunus's recent studies at the University of Illinois College of Medicine, he found that Fibromyalgia and Chronic Fatigue Syndrome overlapped 75% of the time. One of the most successful treatments for symptoms was the administering of basic sleeping pills. Anti-inflammatory pills, over-the-counter meds and steroidal options didn't work any more than a placebo, which led him to conclude the problem was mostly in the brain chemicals and neurons, rather than the actual muscles.

Fibromyalgia Chronic Fatigue Syndrome has its obvious, never-ending aches and tender points, constant mental dullness and tiredness. Sleeplessness breeds depression and depression breeds lethargy. However, the body's inability to get quality rest affects many other areas.

Soon patients will have irritable bowel syndrome, constipation or bloating. They'll feel constantly thirsty and sensitive to external stimulus. Before the pain symptoms get out of control, it's best to ask one's physician about the possibility of having Fibromyalgia chronic fatigue to open up treatment options.

Herbal Medicine For Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disorder is which a person is overcome with fatigue. A type of fatigue that is not relieved with rest, instead as time goes on and can impact your ability to perform your daily activities.

Typically to receive the diagnosis of chronic fatigue syndrome the fatigue has to last for more then six months. The fatigue is not the only symptom a person can experience.

Other symptoms that are associated with chronic fatigue syndrome include muscle aches and pains, joint pain, headaches, memory problems, problems sleeping, tender lymph nodes and a sore throat. Diagnosis of this disease is often difficult, one because we have no idea of what causes it and two because it is a hard diagnosis for people to accept.

The people who suffer the most from chronic fatigue syndrome range in age from their 40s to their 50s and mostly it seems to affect women. Though it is not known if this is because women are more likely to report it then men, or it is really more dominant in women.

Being diagnosed with chronic fatigue syndrome leaves many people looking for treatment options to help alleviate the symptoms and treat the condition. There are more and more people turning to herbal medicines to help them as they strive to live a more holistic life. It is important that you talk with your doctor before beginning any herbal medicine as that they may interact with other medications you could be taking.

Here is a list of herbal medicines that can be taken to help alleviate your symptoms. Keep in mind that this in no way replaces medical advice. Herbs overall are safe and they are used frequently to strengthen the body and tone the body systems. Herbs can be used as dried extracts in the form of teas, capsules or powders, glycerides and tinctures.

1. Ginseng is an herb that is used by many to help boost energy levels. To get the full benefit of ginseng you will want to consume anywhere from 100-300 mg twice a day.

2. Licorice is an herb that is used to stimulate adrenal glands. You will need about 200 mg possible 400 mg three times day for only 6 weeks. Do not use licorice if you currently suffer from high blood pressure, heart failure or edema.

3. Echinacea is an herb that is used to stimulate the immune system. Taking 200 mg twice a day can help improve immune function.

4. Pau D arco is another herb that is used to strengthen the immune system. This is taken as an extract, using one tsp in a full cup water and you drink it two or three times a day. Again if you are taking any blood thinning medications this includes aspirin then you will only want to use this herbal medicine for 1 week.

5. Astragalus also known as huang qi is another herbal medicine that is used to boost the immune system. Alternating this with Echinacea will help increase the benefits.

You may notice that many of these herbal medicine focus on boosting the immune system. This is because we are not sure if chronic fatigue syndrome is due to a weak immune system, or due to a viral infection. Therefore increasing the strength of the immune system can help decrease symptoms.

The Link Between Fibromyalgia and Celiac Disease

Do you have Fibromyalgia? Are you constantly sick and tired all the time? Have you been told to live with it and that there is no cure? Could you actually have Celiac Disease and it has been undiagnosed? Is there a possibility you could find a solution to all your health problems that is a simple as a change in diet?

Fibromyalgia is a complex pain syndrome, with a multitude of different symptoms and without a single known cause. There are many symptoms. Here are some of them:

• Increased sensitivity

• Stiffness on Awakening.

• Arthritis like pain, with or without joint involvement

• Fatigue

• Un-refreshed sleep (tired on awakening)

• Sleep Disturbances

• Muscular pain

• Tendon pain

• Hormonal effects

• Headaches and Migraines

• Brain Fog

• Depression

• Exercise Intolerance

• Low immunity/ frequent infections

• Stomach/ Bowel disturbances /Irritable Bowel Syndrome.

• TMJ/ jaw pain.

Many people tend to have Fibromyalgia as a co-existing condition along with another disease. The most common of these is Rheumatoid Arthritis, but it can also exist with Lupus, or Psoriasis. However is also possible for it to exist as a stand alone disease. There is however another possibility that has been overlooked and that is the incidence of Celiac Disease that is being misdiagnosed as Fibromyalgia.

Celiac Disease is an auto-immune disease that is, the body mistakenly attacks its own tissues seeing them as a foreign substance. When a person with Celiac Disease eats any food containing gluten (the protein found in Wheat, Rye, Oats and Barley), the body reacts to those proteins found in the gluten and attacks the small finger like projections in the small intestine called villi, thus preventing absorption of food. This leads to major digestive disorders, stomach ailments, fatigue, anemia, headaches, exhaustion, and pain and fatigue.

At least 1 in 100 people have Celiac Disease but it is often missed. It is not commonly something that is checked for when someone has all the fibromyalgia symptoms, but it is worth ruling out and investigating. It is diagnosed by a blood test and by a biopsy of the small intestine during a gastroscopy. The simple treatment of it is a completely Gluten free diet.

Most often people with Fibromyalgia have digestive disorder complaints, most commonly they are told that it is caused by Irritable Bowel Syndrome (IBS). The symptoms of this are alternating diarrhea and constipation, nausea, bloating and wind and constant fatigue. Well unsurprisingly this is also the exact symptoms of Celiac Disease! How many doctors have checked their Fibromyalgia patients for Celiac. I know I wasn't.

Since following a Gluten free diet all my symptoms of Fibromyalgia and IBS have disappeared! I am however not advocating that all Fibromyalgia is caused by Celiac Disease, but don't you think it's worth your health to rule it out.

Effectively Treating Piriformis Syndrome (Pain In The Butt)

ThePiriformis muscle (piriformis; "pear shaped") is a tiny muscle located deep in the buttocks, underneath the large gluteal muscles. This little muscle is the most well-known of a group of muscles known as the "Hip Rotator Cuff" and is frequently the source of pain in the butt.

Piriformis Syndrome is a miserable condition in which the Piriformis Muscle becomes overly tight. It can be aggravated by bending, lifting, sitting, sports, or even driving (foot on the gas pedal). Contrary to what your M.D. might tell you, there are no drugs or surgery that are effective for treating Piriformis Syndrome. In 20 plus years of practice I have never one time seen a person whose Piriformis "Release" Surgery actually worked.

WOMEN MORE LIKELY TO SUFFER WITH PIRIFORMIS SYNDROME THAN MEN

Piriformis Syndrome is an extremely common condition, and is far more likely to be found in women than men (about 12-15 times more often). Although I can only speculate on the reason for this, I suspect that it is a child-bearing issue. It probably also has to do with the naturally wider shape of a woman's pelvis. This most likely accounts for my finding it much more frequently in women than men - even in women who have not had children.

PIRIFORMIS SYNDROME CAUSES SCIATICA

Piriformis Syndrome is a major cause of sciatica (leg pain, numbness, tingling, or weakness), hip pain, and buttock pain. Because sciatica is so often involved, it is often misdiagnosed as a slipped disc, herniated disc, or a chronic low back or sacroilliac problem.

The sciatic nerve is both the largest and longest nerve in the body, and at its largest point is about the thickness of one's thumb. The sciatic nerve originates in the low back (lumbar spine region) and angles toward the middle of the buttock. It then extends down through the leg, passing underneath the piriformis muscle. Be aware that in as much as half the population, the sciatic nerve travels through the piriformis muscle, passes over the piriformis muscle, or splits in two and passes directly around the piriformis muscle.

WHERE IS PIRIFORMIS SYNDROME PAIN FOUND?

The symptoms of Piriformis Syndrome usually begin as a deep aching in what women like to refer to as their "hip" area. This pain will be found along an imaginary line that runs from the very tip top of the butt crack, to the greater trochanter of the hip bone (the bony knob on the upper and portion of the outer or lateral thigh).

CAUSES OF PIRIFORMIS SYNDROME

People most predisposed to chronic contracture and microscopic scarring of the piriformis muscle, are people who wear cruddy or improper footwear for their foot type, those with faulty spinal or lower limb mechanics, overweight, poor posture, too much time sitting, too much time on concrete, not enough activity (or occasionally too much exercise), and of course, the biggie - just being female.

Due to mechanical stresses causing chronic tightness / contracture, the piriformis muscle can actually become shortened over time. This often results in microscopic scarring of the fascial sheaths that tightly surround the muscle itself. Piriformis Syndrome is most commonly worse at rest (sitting or lying down) and is often (but not always) relieved temporarily by moderate activity (particularly walking or stretching).

EFFECTIVELY TREATING PIRIFORMIS SYNDROME

For years, I did not really understand why I had such good clinical results with so many cases of buttock / hip pain and sciatica, while other seemingly identical cases were largely unresponsive to chiropractic adjustments. Frequently these "problem" cases would get fantastic short-term results from their adjustment, but these results never seemed to last more than a few days at the most (and often no more than a few hours). It was not until I started doing " TISSUE REMODELING " in 2001, that I began to understand what was going on.

Over the past decade I have come to realize that Piriformis Syndrome is literally "epidemic" in the female portion of our society (it is Destroy Chronic Pain.com's #1 webpage by far - see our site's Patient Treatment Diary); with the medical community being largely mystified about what it really is, or how to treat it effectively. Again, drugs and surgery do not constitute "effective" treatment for Piriformis Syndrome. Do not assume that a "Piriformis Release Surgery" will solve your problems!

PIRIFORMIS SYNDROME AND MICROSCOPIC SCAR TISSUE

If you read my first article "Chronic Pain's Relationship to Microscopic Scarring of Elastic, Collagen-Based, Connective Tissues", you have at least a cursory understanding of scar tissue. Microscopic scar tissue is normal, elastic tissue (think nicely combed hair here) that has been disrupted from its organized structure. For various reasons, these connective tissues can get mangled into a balled-up and tangled wad of inflexible and hyper-sensitive micro-gristle (think of a hair tangle that cannot be combed out). This kind of microscopic scar tissue is not typically in the muscle itself, but in the fascia. Fascia is the thin, but very tough, yellowish white membranes that cover muscles. In my neck of the Ozarks, deer hunters call these membranes, "Striffin".

FASCIAL ADHESIONS

Fascia is arguably the single most pain-sensitive tissue in the body! FASCIAL ADHESIONS will cause pain and dysfunction. Destroy Fascial Adhesions and Destroy Chronic Pain!

Because most of these scar tissues are in the fascia as opposed to the muscle itself, they do not image on MRI. It is my opinion that microscopic scarring of the Piriformis Muscle is the single most common cause of chronic, long-standing, Sacroilliac or buttock pain (the Sacroilliac Joints are the bony bumps that lie just up and lateral to the top of the butt crack). It is also the most common cause of what I have for years referred to in the office as a "butt-based" sciatica.

THE FOOT / PIRIFORMIS CONNECTION

If you have extra-high arches or "fallen" arches, or if you have abnormal lower body biomechanics of any sort; you probably need arch supports (orthotics). We carry some nice, generic orthotics that will work for many people. However, some of you will require custom orthotics. Allow me to give you an example:

High arches can be a big contributor to Piriformis Syndrome. The higher the arch, the more you get "pushed" onto the outside of your foot. To see what this does to the Piriformis Muscle; stand up, put your hands on your upper buttocks in the area of the piriformis. Now, roll your weight out onto the outsides of your feet. Notice how the Piriformis Muscle instantly becomes tight as a drum? This is what is going on all day long if you have high arches. And there is only one company on the planet that I am aware of that specifically specializes in shoe inserts (orthotics) for people with high arches. Shawn Eno's "Xtreme Footwerks" in Idaho Springs, CO.

Chronic Back Pain Limitations

Thousands and thousands of people annually seek medical care for back pain. For some, the pain is gone within 6 weeks. For others, it becomes chronic back pain.

Chronic back pain affects individuals in various ways. Most make repeated visits to physicians, seeking relief. They want to know what causes their chronic back pain. They want new tests. They want to try whatever treatment may be available.

Chronic back pain sufferers may report difficulty in performing normal daily activities. They may believe the pain is increasing. They may simply want someone to sympathize, and agree that it is not "all in your head" at all.

Although back pain is the main reason people visit orthopedic surgeons and neurosurgeons, and the second main reason they visit primary care physicians, an estimated 5 to 10 percent of those visitors will receive no cure. They will go from low back pain to chronic back pain.

Patients are frustrated because physicians do not cure back pain. Physicians are frustrated because they cannot cure low back pain. Many think they can do little to prevent occasional severe back pain from becoming chronic back pain.

If nothing is done, however, chronic back pain limitations can seriously impinge on daily activity.

Possible Limitations

A look at possible chronic back pain limitations reveals a long list. There are limitations placed by a physician, but there are many more limitations that patients place on themselves. They may include physical limitations, emotional limitations, or mental limitations. Of the many chronic back pain limitations we can discuss only 7 here.

1. Depression: One of the most common limitations of chronic back pain, depression affects everyone involved in the daily life of the sufferer. The type of depression experienced by sufferers of chronic back pain is not simply a matter of feeling sad or "down at the heels" for a day or so. "Major depression" and "clinical depression" are the terms used for this kind of depression.

When chronic back pain limitations include a major depression, the person feels emotionally miserable everyday for at least two weeks. He or she also may have unexplained crying spells; major appetite changes; fatigue, sleep problems; agitation; and thoughts of death or suicide. There may be little interest in activities that were normally enjoyable.

2. Social Activity: A second of the chronic back pain limitations reported is that of social activity. People suffering chronic back pain become reluctant to attend parties and other social functions. They may curtail recreational activities or outings with the family.

3. Work Time: Those who suffer chronic back pain are also more likely to take off more work time. Statistics show that back pain causes the loss of more than 83 million days of work time each year due to back pain.

4. Job Loss: Since it often means lost work time, another of chronic back pain limitations is job loss. Too many lost days, or poor performance due to chronic back pain, can result in replacement.

5. Work Ability: Chronic back pain is a leading cause of work limitations. Back pain limits workers' ability to lift, carry, and perform other duties that are required. It places restrictions on workers, and narrows the job field for many people.

6. Low Pay: Chronic back pain limitations include financial limits for some. Those who are limited in work by chronic back pain earn, on average, only two-thirds the amount of those without back pain.

7. Housework: One of the largest limitations of chronic back pain appears to hit normal activities associated with housework, gardening, and lawn work. Patients with back pain that lasted more than 60 days often report they are no longer able to do any gardening, lawn work, or normal cleaning activities such as vacuuming, mopping floors, etc.

Clinically Proven Limitations

For the patient, it is difficult to believe that chronic back pain limitations are often unnecessary. They continue to believe that the pain has a cause that can be readily diagnosed, despite their physician's repeated assurances to the contrary. They believe the physician can find a medical sure for their back pain if pressed often enough and hard enough. As for treatment, patients often believe that until the cure is found, the best treatment is bed rest and limited activity.

The result of such beliefs is that back pain that could initially be resolved with exercise becomes chronic back pain. Chronic back pain that might still be resolved if the patient were to exercise regularly gradually develops and produces chronic back pain limitations.

TIP: Back pain is very, very common in our society. Rather than let it lead to complications and limitations, you may want to ask your physician for gentle exercises that may resolve your back pain before it becomes chronic.

Parents, Teenagers and Chronic Fatigue Syndrome

Chronic fatigue syndrome, or CFS, is a very difficult disorder to diagnose in adults and teenagers. The primary symptom associated with chronic fatigue syndrome is extreme fatigue, which does not improve even with extended periods of rest. Though Chronic Fatigue Syndrome is one that is now widely accepted by researchers and doctors as being a legitimate illness, the exact cause of it is still unknown.

Symptoms

Despite the fact that researchers have not been able to pinpoint an exact reason for the development of chronic fatigue syndrome, there are some symptoms that are generally associated with this condition. Aside from fatigue itself, the following symptoms are usually present in teens and adults who suffer from CFS:

• Headache


• Lack of concentration or focus


• Memory loss


• Muscle pain that is unexplained


• Lymph nodes in the neck or armpits become enlarged or painful


• Restless sleep, or unrefreshing sleep


• Joint pain with no swelling or redness


• Sore throat

In addition to the symptoms listed above, there are a wide variety of other symptoms that are sometimes present in adults and teens who suffer from chronic fatigue syndrome. These symptoms are not part of the official definition of the disorder because they do not manifest themselves in every patient with CFS.

• Nausea


• Chills


• Night sweats


• Chest pain


• Abdominal pain


• Diarrhea


• Weight gain or loss

How CFS is Treated

Doctors generally use a combination of different treatments in an attempt to provide some relief for patients. There is no absolute cure for chronic fatigue syndrome at this time, however.

One of the most commonly prescribed activities for patients is moderate, steady exercise. Teenagers with chronic fatigue syndrome need to monitor their daily activity carefully because they need to walk a fine line between staying active and not overexerting themselves with sports. Your doctor can help you to create an activity plan that will keep your body moving without exhausting you.

Depression is a common diagnosis in teenagers and adults who have chronic fatigue syndrome. If you or your child is suffering from depression, your doctor may prescribe some medication for you to help relieve those symptoms. Behavioral therapy is often used in conjunction with medication so that patients can learn how to identify negative behaviors or activities that may be inhibiting their treatment process.

Your teen may also be treated for symptoms of pain with acetaminophen or non-steroidal anti-inflammatory drugs such as ibuprofen. In addition, they might also need to be treated for allergies, low blood pressure, anxiety, or dizziness.

Alternative Treatments

Many people who are diagnosed with chronic fatigue syndrome seek alternative treatments in an effort to find relief from this debilitating disease. Ginseng is considered to be one of the most effective natural treatments for CFS because it enhances cellular immune function. Ginseng helps to increase energy and reduce feelings of fatigue, and it has proven to be successful in research studies of patients with CFS.

L-carnitine levels are usually decreased in people with CFS, and lowered levels of this amino acid can lead to exhaustion and muscle pain. Taking an L-carnitine supplement has helped many patients to find some relief from their symptoms. In addition, patients with CFS have also shown improvement when taking CoQ10, an antioxidant that is found naturally in our cells.

Back Pain - What is Axial Back Pain?

Axial back pain is the most common type of low back pain. It is usually non-specific - meaning that the anatomical structure responsible for the pain need not be identified because symptoms are usually self limited and resolve. Unlike other low back issues, this type of pain does not travel into the buttock, legs and feet, or other areas of the body. Axial back pain can vary widely from sharp or dull pain, constant or intermittent pain, or mild to severe pain.

Following are characteristics of axial back pain:

• Low back pain that gets worse with certain activities, such as certain sports.
  


• Low back pain that gets worse with certain positions, such as sitting for long periods.
  


• Low back pain that is relieved by rest.

An exact diagnosis as to which structure is causing the low back pain rarely has significance to treatment. Further evaluation is only necessary when the pain is severe and chronic. A variety of structures in the lower back can cause axial or mechanical lower back pain, such as a degenerated disc, facet joints problems, and damage to soft tissues - muscles, ligaments, and tendons - and it is often difficult to identify which anatomical structure(s) is the underlying cause of the pain.

As a general rule of thumb, if your back pain is bad enough that it wakes you up from deep sleep, you should consult a physician to rule out possible serious conditions, such as an infection, tumor or fracture.

Treatment for axial back pain is conservative (not requiring surgery). Treatment may include one or a combination of the following:

• A short period of rest (e.g. one or two days)
  


• Physical therapy and active exercise and stretching
  


• Ice and/or heat application for activity related pain relief
  


• Appropriate medications for pain relief
  


• About 90 percent of patients with axial low back pain recover within six weeks. If axial


• low back pain persists for more than six to eight weeks, then additional testing and/or injections may be useful in diagnosing and treating the source of the pain.

Chronic Fatigue Syndrome and Women

Women are four times more likely to have Chronic Fatigue Syndrome than men and it usually strikes in their 40's or 50's. Unfortunately, there is no single test to diagnose or confirm the syndrome, however, it is important to know the symptoms and rule out other causes, especially if all your tests come back 'normal.' It is important to find a qualified physician who specializes in the syndrome or a Natural Medicine Doctor who can help you with any nutrient deficiencies in the body.

Here are the symptoms:

- pain in the neck or armpits

- sore throat

- joint pain or persistent muscle pain

- memory loss or difficulty concentrating

- lack of good sleep

- extreme exhaustion lasting longer than 24 hours

The problem is that illnesses such as depression, fibromyalgia, chronic infections or undiagnosed cancer can cause the same symptoms which makes it difficult to diagnose. There are some simple changes you can make to help alleviate or eliminate symptoms. The treatment is a healthy lifestyle. Here is what you can do:

1. Start your day hydrated: drink water as soon as you wake up in the morning before your coffee. After 8 hours of sleep, your body is dehyrated and if you start your day with coffee, it will dehydrate you even more. Drink some water first then drink your coffee.

2. Find a nutritious breakfast you can live with and take your vitamin supplements with breakfast. This will insure that you are starting your day with a nutrient dense meal as well as your vitamins for energy throughout your day. If you are starting your day with a piece of toast and coffee, you are starting your day with one of the most highly reactive foods - wheat! The gluten in wheat has been shown to cause pain in the muscles and joints. My favorite way to start the day is with a protein smoothie in a blender.

3. Try YOGA for relieving stress and pain in the body. It will be the best hour of your day. The postures are designed to be done without struggle as in life so the class will teach you how to let go of the pain.

4. Learn DEEP BREATHING techniques which will calm your body and mind when worrisome issues arise. Your yoga instructor can help you with these methods so you can do them any time of day.

5. Avoid the top 6 most highly reactive foods that can cause pain in the body - wheat, dairy, sugar, corn, peanuts and eggs. This does not mean you can never eat them again, just try not to rely on them for every meal. You should notice a difference in how you feel.

I wish you a pain-free life with glowing good health always.

Chronic Fatigue Syndrome in Men

Many of my male patients complain of being tired, stressed out, and just feeling like they're burning the candle at both ends! I like to call this "too busy syndrome", fatigue that's caused by overly-busy schedules and not enough down-time to just hang-out and relax.

There is a difference, however, between "too-busy tired" and the debilitating exhaustion associated with chronic fatigue syndrome (CFS). Let me share with you some of the facts regarding chronic fatigue syndrome, particularly how it affects men, and what you can do to prevent and treat it.

What Is Chronic Fatigue Syndrome

Statistics show that between 100,000 and 250,000 Americans suffer from chronic fatigue syndrome with some researchers believing the levels are actually higher than that.

There is a misconception that chronic fatigue syndrome is more common in women than it is in men. For this reason, CFS may have gone undiagnosed in men. Also, men don't visit doctors as often as women. The fact is, while women are 3 times more likely to get CFS, men DO get it as well.

Both male and female CFS sufferers share many of the same symptoms and levels of functioning/disability. It can be difficult to diagnose CFS because the symptoms can be different from person to person.

The reason CFS is hard to diagnose is because the symptoms can mimic other health issues like flu, mononucleosis, fibromyalgia, or even depression! However, researchers have identified these common complaints that occur in 85 to 100% of CFS sufferers:

o Persistent, life-altering fatigue not related to exertion, not relieved by rest.

o Four or more of the following symptoms that have been present for 6 months:

o Short term memory impairment

o Impaired mental function/lack of concentration, brain fog, depression

o Sore throat

o Swollen lymph nodes

o Low grade fever

o Muscle/joint pain without redness/swelling

o Unusual (for you) headaches

o Sensitivity to smells, noise, light, medications, food

o Sleep disorders, too much, inability to sleep

o Impaired immune function - Candida infections, allergies.

What Causes Chronic Fatigue Syndrome?

Researchers are not quite sure what causes chronic fatigue syndrome. There are some who favor viral causes from several different possible viruses including herpes simplex, the virus that commonly causes cold sores. Epstein-Barr, the virus that causes mononucleosis is another possible cause.

There are others who think that CFS is an autoimmune disorder, as seen in lupus, or allergic individuals, or rheumatoid arthritis, where the immune system ramps up into high gear to fight invading organisms and winds up attacking itself instead!

Still other researchers feel CFS may be caused by other physical conditions, such as mercury dental fillings, low thyroid, low blood sugar, insomnia, or even a nutritional deficiency! Whatever the various possible causes, there seems to be an association between CFS and stress which may trigger the condition.

CFS and Guy Issues

Unlike women who suffer from CFS, managing the illness can pose unique problems for men. First of all, most men do not express their feelings easily, even when feeling sick, and visit doctors less often causing them to suffer in silence.

Secondly, men's perception of their worth is typically tied to their career, earning potential, and/or their ability to take care of themselves or a family. When a man starts having chronic symptoms, he may feel less masculine, afraid, or try to ignore his symptoms. In some cases men may push even harder to maintain a private and public expectation, which only adds to their fatigue.

What You Can Do

When male patients do come to me with CFS-sounding complaints, I favor a natural, more self-managing, approach using nutritional (diet and vitamins), along with lifestyle adjustments, in treating their symptoms. Below are some strategies that I use in managing CFS:

o Vitamin therapy: Men need higher doses of all the B vitamins which can boost energy levels. Vitamins C, E, and beta-carotene are antioxidants that also help fight viruses. Vitamin D helps boost the immune system.

o Mineral therapy: Calcium, magnesium, and manganese. These three minerals are crucial in energy production.

o Diet therapy: A well-balanced diet with 6-8 fruits, vegetables, higher protein, high fiber, complex carbohydrates. Limit refined sugars, caffeine, and fat. Add acidophilus to aid the immune system, drink 48-64 oz water daily.

o Lifestyle therapy: Minimize emotional/physical stressors. Get enough sleep, supplements such as melatonin can help. Get regular, moderate exercise that you can sustain, like casual walking, bicycling, or swimming. Yoga and Tai-Chi can help de-stress you.

o Counseling: Men need to talk about their feelings, how being chronically sick is affecting their personal relationships and their career life. One-on-one, or group therapy, can help restore a man's loss of self-esteem and give him a sense of support and camaraderie amongst other men during the illness.

Though diagnosing chronic fatigue syndrome in men can be difficult, treatment of it doesn't have to be. If you experience any of the symptoms mentioned above, don't hesitate to call your doctor. Together you can decide on the best treatment for managing your CFS symptoms. Many of the nutritional suggestions listed here can also help prevent CFS as keeping a healthy immune system is a key to staying healthy!

Treatment of a Compound Fractures; Reflex Sympathetic Dystrophy/Chronic Regional Pain Syndrome pt.1

Nine months ago I fell down a full flight of stairs, thirteen steps. This is a story about my experience of the treatment of a compound fractures.

I had flown in the night before to see my sister. In the morning we went on her usual hike, two big dogs in tow. My goal was to hike with the same stride of my sisters and touch the same rock she touched each morning as she travailed the path before her. It was not a competitive edge that led me, rather one of sharing. I wanted to share her space and her life and touch her rock that satisfied her goal of meeting that mark.

We hiked that morning, took in the wonderful smells of the mountains; the pines. There is no more memorable a fragrance. We chattered, tried to catch our breaths in between laughter and the sound of our boots hitting the surface of the dirt and rocks as we headed towards our destination.

When we returned I took a shower, put on my makeup and headed towards the stairs. Looking back I guess I was both tired from the flight the day before and the hike that I was not in perfect shape for. I am not sure how exactly I only know that from the top I simply lost my balance. I fell forward down the full flight of stairs. As in a car accident or any other accident yes I saw my whole life flash before me. The main thought that rushed into my head was, "Don't break your neck!"

The first thing that hit the stairs must have been my right hand. I did not feel it, I only understood that I was falling. I then landed on my ribs and ultimately the right side of my face. It was a very scary thing indeed.

continued on part two, there are three parts.

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Chronic Fatigue, Pain, Mood Swings and Brain Fog - A Loss of Vitality!

Years of treatment for low thyroid, but you still have your chronic fatigue, pain and sleep issues, possibly even worse?! Some estimate as many as 1 in 7 adults suffer from hypothyroid symptoms. Surprisingly, some of these debilitating hypothyroid-like symptoms may NOT be coming from a low thyroid! Often people with symptoms of a low thyroid are told that their lab tests are "normal", and that there is not a problem. If you really want to heal, it's time think outside the box! Stop letting your insurance company determine what is appropriate testing and treatment for you. If you want to regain your vitality and health - to make a real difference in your life - you need to explore the actual source of your vitality.

At the center of your cells are hundreds of throbbing engines, the mitochondria, cranking out massive amounts of energy for everything you do, creating a vital life! They take calories from your food; break it down and literally burn it for energy. When they are humming along, like well tuned engines, you have all the energy you need. When they are not working efficiently this loss of vitality can lead to many common problems. Imagine your thyroid gland, muscles and neurons continually coming up little short on energy, what sort of symptoms might this bring on? Research is now demonstrating that disorders such as chronic pain, fibromyalgia, depression, anxiety, chronic fatigue and even neurodegeneration involve the lack of optimal cellular energy production and not just low thyroid function.

Your cells become inefficient at producing energy when deprived of the necessary nutrients and the proper fuel they need to do their work. When this becomes chronic from poor dietary choices your thyroid may not work well, muscle cells can become painful, tender and tired, and the brain becomes sluggish and depressed. When you eat a diet filled with empty calories you actually deplete the nutrients your cells need to function properly. More troubling is that chemicals in our environment can cause cellular injury. These industrial chemicals and pesticides cause damaging free radicals that disrupt the energy producing process of your cells and deplete your vitality.

Your thyroid hormone does stimulate cellular metabolism, and if your thyroid is not working properly the cells of your body and brain can slow down. However if your cells are low on energy, if their gas tank is on empty, then thyroid hormone can do little to improve vitality. It is a bit like whipping a dying horse. This is one reason why many individuals who have been on years of thyroid medication still have all their symptoms of hypothyroidism: cold hands and feet, sensitivity to cold weather, psychological depression, cognitive difficulties, dry skin, scaly scalp, brittle hair, menstrual problems, constipation, diminished stomach HCl production, etc. Furthermore your thyroid needs to be healthy itself, made up of healthy cells with adequate energy to work properly and produce adequate levels of thyroxine.

How does one go about diagnosing and treating this loss of cellular vitality? You have to think outside the box of "standards of care" based on your insurance companies dictates. With this approach you can utilize specific functional laboratory tests, such as a comprehensive metabolic and thyroid blood profile, metabolic urinary organic acid profile, oxidative stress panel, plasma amino acids and essential fatty acid profile. These are tests that I utilize in my practice to more accurately determine the underlying causes of the wide variety of disorders: hypothyroidism, chronic fatigue, fibromyalgia, and depression to autism and ADHD. Utilizing my 3R program, Remove/Restore and Repair, we can identify and remove factors causing cellular dysfunction, then restore needed nutrient levels based on your specific metabolic needs and repair the cellular damage. With this approach, most patients are able to return to full life without chronic fatigue, pain, depression and the many symptoms of hypothyroidism.

What Are the Symptoms and Causes of Fibromyalgia in Women?

Fibromyalgia is a condition which is characterized by acute pain in the muscles and tendons of the body. The diseased condition is accompanied by many other symptoms in both men and women. It is mostly associated with an increased sensation of pain and women are the worst sufferers of this condition. About 20% of men may account for the total cases of fibromyalgia. Fibromyalgia is accompanied with musculoskeletal pain, soft tissue tenderness and sleep disturbances. It affects mostly in the neck, back, shoulder and pelvic girdle. It is a physical problem and can be relieved with the help of proper treatment. Herbal remedies for fibromyalgia are very effective in giving relief from pain associated with fibromyalgia. These herbal remedies can also give relief from fatigue and normalize the person's ability to carry on daily activities, as a part of fibromyalgia treatment.

Causes of Fibromyalgia:

1. The exact causes of fibromyalgia are not known and it is suspected that certain persons can have a genetic predisposition to develop this condition.

2. Stress plays a very important role and it is considered as an aggravating factor for fibromyalgia.

3. The pain sensation is regulated by several neurotransmitters and fibromyalgia may be related with the abnormalities in the levels of neurotransmitters.

4. Some other factors that can induce an outbreak of fibromyalgia are hormonal fluctuations, weather changes, depression and lack of sleep.

Symptoms of Fibromyalgia:

The most common symptoms of fibromyalgia are:-

1. Pain all over, fatigue and sleep difficulties

2. Morning stiffness, cramping and weakness

3. Digestive system disorders, headaches and migraines

4. Balance problems, itchy and burning skin

Symptoms of Fibromyalgia in Women

1. Most women with fibromyalgia encounter the problem of an aching body and the pain can be muscular ache or burning sensation across the body.

2. Common tender points of pain can be found in between the shoulder blades, upper chest, back of the head, inner knees and front sides of the neck.

3. Falling asleep as well as staying asleep can be difficult for such men suffering from fibromyalgia.

4. Another fibromyalgia symptom is jaw pain and also causes pain in the face and head.

5. Problems related with memory can also be some important fibromyalgia symptoms in men.

6. Morning stiffness, irritable bowel syndrome, chronic headaches and palpitations are also other related symptoms.

Diagnosis and Treatment of Fibromyalgia

1. To be diagnosed with fibromyalgia, a woman must have had at least three months of widespread pain on the areas which can include arms, buttocks, chest, knees, lower back, neck, shoulders and thighs.

2. Blood and urine tests are usually done, in order to rule out conditions that may have similar symptoms.

3. The main aim of fibromyalgia treatment is to help relieve pain and other related symptoms.

4. The first type of treatment may involve physical therapy, exercise and stress-relief methods.

5. The goal of medication is to improve sleep, reduce pain and give relief to fibromyalgia patients.

6. Cognitive-behavioral therapy is an important part of fibromyalgia treatment. This therapy helps to deal with negative thoughts, seek out enjoyable activities etc.

7. Other recommendations include a well-balanced diet, avoid caffeine, improve quality of sleep etc.

Herbal remedies for fibromyalgia has been proved to be effective and beneficial in the treatment. Herbs can help to treat the various symptoms produced in fibromyalgia like depression, fatigue, sleep disorders, inflammation and severe pain. The herbal supplements used in fibromyalgia help to alleviate pain, stress and anxiety by inhibiting neurotransmitters. Fibromyalgia pain is often accompanied by anxiety, depression and insomnia. These symptoms make fibromyalgia a worse a disorder that affects both the body and the emotions. Herbal remedies are more effective for fibromyalgia, as natural herbs work holistically on both the mind and body levels. Herbs address adrenal gland support, stress management and pain relief naturally. The symptoms of fibromyalgia can be lessened with specific herbal remedies that can warm the body, improve circulation and reduce pain.

Fibromyalgia is a Complex Condition

Recent studies show that 80-90% of the diagnoses for Fibromyalgia are given to women. Additionally, the chronic muscle pain and disrupted sleeping patterns associated with the disorder leave 60% of the afflicted on disability, unable to work. One must wonder why Fibromyalgia and its subsequent symptoms aren't being treated as a national medical emergency, like AIDS or Cancer. The answer lies in the under-funded and under-researched realm of neuroscience.

One of the treatments for Fibromyalgia Syndrome is, surprisingly, a sleeping pill! Unfortunately, Fibromyalgia and chronic fatigue syndrome go together like peanut butter and jelly. Researchers point out two possible causes of the Fibromyalgia and fatigue; the first being that since MRIs for patients with Fibromyalgia show brain signals lighting up in the same areas continuously, the neurons simply get worn out and leave the patient more sensitive to pain and soreness. The other possible cause for tiredness has to do with body chemicals, or dopamine and adrenal fatigue. Since the body is constantly producing stress-related chemicals on a normal basis, it's unable to produce enough "feel-good" chemicals to enable rewarding sleep cycles.

Not only is Fibromyalgia linked to bizarre brain activity, but researchers are now looking into the connection between Fibromyalgia and reproductive health as well! Roughly 85-90% of the patients with Fibromyalgia are women. Women with chronic pain syndromes are more likely to have breast cysts, greater stiffness during pregnancy, as well as severe headaches and abdominal cramping during PMS. Many women find the onset of Fibromyalgia concurrent with menopause, which may be related to lowering levels of estrogen and cortisol.

It's possible that genetic polymorphisms in one's serotonergic, catecholaminergic, and dopaminergic systems can predispose some people to Fibromyalgia and sleep disorders. Other hypotheses focus on malfunctions in the hypothalamic-pituitary-adrenal (HPA) axis (which controls stress hormone release) or unregulated nerve growth. In some studies, patients with Fibromyalgia were found to have four times as much nerve growth in their spinal fluid. Whatever the cause may be, doctors are looking to find something that will cure the symptoms in order to unlock the mystery cause.

Chronic Fatigue Syndrome: Tired All the Time

Chronic fatigue syndrome (CFS for short) is an illness characterised by persistent medically unexplained fatigue.CFS may also be called myalgic encephalomyelitis (ME),Epstein-Barr disease,post-viral fatigue syndrome,or chronic fatigue and immune dysfunction syndrome (CFIDS).

Chronic fatigue syndrome has frequently been viewed as hypochondriacal behavior or "yuppie flu".But most experts now agree that chronic fatigue syndrome is a distinct disease with physical symptoms.

The most prominent symptom of CFS is an unexplained feeling of fatigue,which is not relieved by rest. Symptoms of chronic fatigue also include muscle and joint pain, muscle weakness, bowel problems,unexplained headaches, forgetfulness,poor concentration,confusion,poor temperature control and difficulty sleeping.Fibromyalgia and arthritis are frequent accompaniments to patients with chronic fatigue syndrome.

The cause of chronic fatigue syndrome is not well understood.

Conditions that have been proposed to trigger the development of chronic fatigue include virus infection and toxins. Some theories suggests that chronic fatigue is related to stress,overwork,physical inactivity,problems with the immune system,low blood pressure,or hormonal imbalance.Colitis,hypoglycemia and brucellosis can also cause chronic fatigue syndrome.

Regardless of the cause, chronic fatigue has a major impact on the quality of life.

Chronic fatigue syndrome is very hard to diagnose, and many people go for years without knowing that they have it. No laboratory tests are available to confirm a diagnosis of chronic fatigue syndrome.The diagnosis of CFS is made only if no other cause,including side effects of drugs,is found to explain the fatigue.

Unexplained chronic fatigue cases can be classified as CFS if the patient has a minimum of four of the following eight symptoms:impairment of short-term memory and concentration,sore throat,tender lymph nodes,muscle pain,multi-joint pain,headaches of a new type or pattern or severity,unrefreshing sleep,and fatigue lasting more than 24 hours after physical exertion.

For a patient to be officially diagnosed with chronic fatigue syndrome, the symptoms must have persisted for at least six months.

If the patient's symptoms do not meet the criteria for CFS, then the condition is referred to as idiopathic chronic fatigue.

Chronic fatigue syndrome is a frustrating illness that affects people of all ages. Because there is no specific diagnostic test for chronic fatigue syndrome,no one knows how many people suffer from this illness.It is estimated that half a million Americans suffer from CFS. Women are diagnosed with chronic fatigue syndrome two to four times as often as men are.It's not clear,however,whether CFS affects women more frequently - or if women report it to their doctors more often than men do.

Treating CFS presents a significant challenge to people with chronic fatigue and their healthcare practitioners.