New Home Remedy for Back Pain
Back pain in the adolescent is less likely to represent a serious problem compared to the younger child, and less likely compared to adults to represent spinal pathology compared to adults. Therefore, the majority of adolescents with back pain will have a mild, self-limited problem and will not need an extensive work-up. A careful history and physical exam should distinguish nonspecific back pain from more serious etiologies. Figure 3 is one algorithmic approach to back pain diagnosis. In general, an urgent evaluation is required in an adolescent with neurological signs and symptoms suspicious of a possible or impending spinal cord compression as can occur with tumor, epidural abscess, or fracture. Plain radiographs are indicated in those assessed to be likely to have a problem associated with radiographic changes or with a history of significant trauma prior to back pain onset. MRI is best for further investigation of a significant plain radiographic abnormality, or in those who have...
The majority of back pain found during adolescence does not have an identifiable etiology and falls into the category of nonspecific back pain. Most studies have found that the prevalence of back pain rises during adolescence (6,14-18), reaching adult levels in late adolescence. Generally, there is a 10 or lower lifetime prevalence of back pain in children 10 years or younger (4,15,16,19). The prevalence starts to rise in the next 1 to 2 years, with some studies reporting a lifetime prevalence of 7 to 30 (15,16,19,20). By 15 to 16 years, the reported lifetime prevalence is as high as 50-69 (15,19,21). Many studies in several countries have been carried out to investigate the risk factors associated with the development of adolescent back pain and the relationship between back pain at this age versus adults (4,5,22). Most are cross-sectional studies, and are therefore unable to determine if the associated factor is a true marker or risk factor for back pain development (4). Most of the...
Acute back pain can result from lifting a heavy object, from a misstep, falling, or a sudden motion. Chronic back pain can develop from a viral infection, stress, muscle tension, emotional problems, poor posture and movement, weak muscle strength, as a result of pregnancy, or a congenital defect. Smokers often have back pain that may possibly be due to a deficiency of vitamin C that is destroyed by tobacco. The brain can sometimes mistake signals from another part of the body such as the kidney, prostate gland, or uterus as originating from the back 29 back pain may also be an indi cation of cancer somewhere in the body. If back pain is accompanied by numbness or tingling in the legs, pain shooting down a leg to the knee or foot, inability to move legs and feet, urinary incontinence or stomach cramps, chest pain or fever, see a physician immediately. Otherwise, most back pain will subside in a matter of days, weeks, or possibly several months with proper rest and care. In most cases,...
Abrasion (f HOO) Allergy (f1 LIB PED) Alzheimer's (1 COX X15231456) Anorexia (f APA DEM) Arthrosis (f1 APA BGB CAN COX X15231456) Asthma (f1 BGB DEM FNF) Atony (f FEL) Bacillus (1 X10548758) Bacteria (12 HHB HH2 KOM X17260672 X10548758) Bronchosis (f12 APA PHR PH2 SKY X16618018) Bruise (f HOO) Cancer (1 FNF JLH) Cancer, abdomen (f1 FNF JLH) Cancer, breast (f1 FNF) Cancer, colon (f1 FNF JLH X15231456) Cancer, liver (f1 FNF JLH) Cancer, nose (f1 FNF JLH) Cancer, spleen (f1 FNF JLH) Cancer, stomach (f1 FNF JLH) Cancer, skin (f1 FNF JLH WO2) Catarrh (1 KOM PHR X17260672) Chilblain (f GMH) Cholecystosis (f PHR PH2) Cold (f1 DEM SKY) Colic (f APA PH2) Congestion (f1 APA) Cough (f12 GMH PHR PH2) Cramp (f1 HHB WIN) Cystosis (1 LIB PHR) Debility (f BOW) Dental Plaque (f FAD) Diabetes (f DEM LIB) Dropsy (f FEL GMH HHB) Dysmenorrhea (f DEM) Dyspepsia (f PHR PH2 SKY) Dysuria (CAN PED fi PHR) Edema (f BGB CAN) Enterosis (1 PH2 WO2) Epistaxis (f HOO) Escherichia (1 HH2 X17260672 X10548758) Fever (f...
Case 10 A 17-year-old overweight male presents with 6 months of intermittent low back pain. Most of his pain occurs with prolonged sitting or standing. He does not remember an injury but has pain when he does his homework on his bed. He has hyperlordosis along with tenderness to palpation of his lower lumbar paraspinal muscles. He has a normal neurologic exam but does go into a valgus maneuver with single leg squats. Muscular low back pain during adolescence may be acute secondary to a muscle pull or more chronic due to rapid growth, poor posture, and core Treatment consists of daily physical therapy focusing on core body strengthening and hamstring flexibility. Weight control measures are important to discuss with overweight adolescents. Heating before activity may help to increase stretch of muscles. Pilates and yoga are excellent activities for this group. Pain medications may be used but are not particularly helpful for relieving discomfort. Proper posture, workspace computer...
Constant abdominal pain, and particularly back pain, are sinister symptoms implying local invasion by tumour. Chronic or acute bleeding from the tumour may occur, with consequent symptoms. There is often little to be found on examination, but there may be a palpable epigastric mass. The classic Troisier's sign (left supraclavicular lymph node enlargement) is rare.
Of injury and inflamed joints. 18 The plant has been used for carbuncles and cancer. 7 In Indonesia, the oiled and heated leaves are useful to treat wounds by poisoned arrows, bites and stings. In Malaysia, poultices of the leaves are applied to swellings, swollen joints, lumbago, pains and in cases of headache and fever. The leaves are also an emollient. In Northwest Solomon Islands, the leaves make a topical treatment for inflammation. 19 In Malaysia, the leaves are used as a rheumatic remedy and to relieve local pain. 18 On Karkar Island and in Simbu, Papua New Guinea, the latex from the leaves is applied to cuts. In India, the leaves are applied to skin diseases and inflammation. 20 The crushed leaves are used to wash piles or mixed with honey and applied to wounds and abscesses. 3 Its seeds are considered purgative and emmenag-ogic. 7 In the Trobriands, Papua New Guinea, the stem fibres are used to stop bleeding and in New Ireland, the milky sap from the stem is used for...
Expectorant, antifebrile, lumbago, ascitis, dropsy, kidney, and bladder stones (Usmanghani etal., 1997 Rizvi et al., 2007) Anodyne, rubefacient, stimulant, arthritis, footache, lumbago, rheumatism, skin eruptions, and ulcers (Sabeen & Ahmad, 2009) Wound healing, burns, gonorrhea, dermatitis, enema, and lumbago (Ahmad et al., 2006 Hussain et al., 2007) Injuries, and backache (Ahmad et al., 2006) Expectorant, diuretic, carminative, cleansing, deobstruent in renal stones, amenorrhoea, respiratory ailments, ulcerative scabies, vitiligo, antiphlegmatic attenuant, anthelmintic, antidyspeptic, local anesthetic, hypotensive, antibacterial, anticancer, aids, and antiparasitic (Rizvi et al., 2007) Bronchitis, rheumatism, pyrexia, urogenital diseases such as gonorrhea and syphilis, otitis, cardiotonic, stomachic, and analgesic (Kabirudin & Khan, 2003) Skin diseases, dysentery, and sensitive teeth (Qureshi et al., 2009) Headache, fatigue, lumbago, toothache, eye ache, brain weakness, cold,...
Traditional Medicinal Uses The whole plant is used to treat aching bones and arthritis. In Malaysia, the heated leaves are applied to the chest and abdomen to treat coughs, nausea, colic and enlarged spleen. In Japanese and Chinese medicine, M. citrifolia is used to treat fever and as a tonic whereas in Indochina, the fruit is prescribed for lumbago, asthma and dysentery. 1 A decoction of the leaves taken orally is effective for the treatment of fever, dysentery and diarrhoea. Poultice of fresh leaves can be used to cure furunculosis. The fruit when consumed together with a little salt is stomachic, aperient, and active on dysentery, uterine haemorrhage, cough, coryza, oedema and neuralgia. The root bark has beneficial effects in hypertension, osteodynia and lumbago. 7 The fruit is also used for throat and gum complaints, dysentery and leucorrhoea while the root is used as a cathartic and febrifuge. 29 The processed fruitjuice is also in great demand for various ailments such as...
The oil also works well as a rub for backache and sore muscles and gums, and being antiseptic will help heal wounds arising from injuries or surgery, as in older formulations. backache Use externally as needed for backache, sore muscles, sciatica, neuralgia, arthritic joints, and to help heal wounds.
Symptoms Syndromes and the Value of Psychiatric Diagnostics in Patients Who Have Functional Somatic Disorders
Studies in the general population as well as primary care and specialty clinic patients have shown that at least one third to one half of symptoms are medically unexplained 2 . One reason for this absence of medical explanation is the frequent lack of objective findings on physical examination or diagnostic testing. Another reason may be the misleading nature of objective findings in certain patients (eg, the cardiac flow murmur that has no causal connection to the patient's atypical chest pain or shortness of breath). Several symptom categories are more descriptive than etiologic. Mechanical low back pain, nonulcer dyspepsia, myofascial pain syndromes, and costochon-dritis are only a few examples of diagnoses with which symptomatic patients are labeled commonly, but for which diagnostic criteria typically are vague. In one of the few instances where this has been studied rigorously, it was found that three experts who reviewed the same data on the same patients and used explicit...
Traditional Medicinal Uses The plant is used to cure indigestion and lumbago. It is used as a tonic after childbirth, to relieve pains in the bone and for treatment of jaundice, dropsy, cachexia and fever. 3,20 Tongkat Ali is one of the most well known folk medicines for intermittent fever (malaria) in Southeast Asia. 16 Decoction of the leaves is used for washing itches, while the fruits are used in curing dysentery. 3 Its bark is used as a vermifuge. 3 The taproots are used to lower high blood pressure, while the root bark is used for the treatment of fever and diarrhoea. 18 The roots of this plant are used as folk medicine for the treatment of sexual insufficiency, aches, persistent fever, malaria, dysentery, glandular swelling and also as health supplements. 18
Joint Rj 50 kg + 150 kg 200 kg (440 lb). If low back pain occurs, the lower back muscles have to use much more force to support the posture, and the reaction force inside the lumbar joint is much higher. It is not surprising that an overloaded joint is more likely to be subsequently subject to wear and tear, resulting in osteoarthritis or other joint and muscle injuries. Therefore frequent de-stress treatment with dry needling technique introduced in this book is of great importance to maintain optimal physical performance and a career in sports.
I have an incredibly hard time sleeping at night and frequently lay awake thinking about my weight. Recently I have been experiencing a lot of back pain and fatigue, which keeps me from going to the gym or trying to exercise. I'm often tired and I'm having trouble concentrating at work. When I was younger I played a number of team sports, like soccer or volleyball, but I have not participated in anything like that in years. I tend to stay to myself these days, I don't want to go out with friends after work to grab a bite, instead I much prefer to go home and eat by myself. Also, I frequently pass up going to family social events because I feel too
Static overload occurs when mechanically stressful positions are held for prolonged periods of time. The active muscles gradually become fatigued. A fixed posture held for a long time causes pain in postural muscles. Another postural problem that is common in daily life is the eye-hand dominance habit The head is rotated to bring the dominant eye closer to reading material that is on the contralateral hand-dominant side. Another example is back pain that is often related to the habit of carrying a child on one hip, often seen in mothers. Muscle imbalance is also a common cause of muscle pain. Usually an imbalance caused by muscle weakness will lead to mechanical asymmetries, as in the case of the leg-length-inequality syndrome and low back pain. In addition to medical treatment such as needling, physical correction using a heel lift or butt lift should be considered.
If this sensitization, especially when it is peripheral, is not neutralized, the sensitized reflex nerve will sensitize other peripheral nerves, possibly through both central sensitization and functional intercon-nectedness between different parts of the body. For example, when low back pain occurs at the L2-L5 level, it can be found that the superior cluneal, inferior gluteal, popliteal and sural nerves have already been sensitized. If the pain persists, the lateral and medial pectoral nerves also become sensitized. Why this happens in such an interconnected pattern is little understood, and what is currently known is just the tip of an iceberg. Nevertheless, the limited knowledge of this interconnectedness has already offered guidance in clinical practice a systemic approach to restoring homeostasis. For instance, when pathologic conditions of the core system (e.g., low back pain) are treated, the interconnected peripheral nerves of the lower limbs will be treated at the same time....
I'm a 32-year-old secretary working at a solicitor's office. I've been overweight since adolescence, but in recent years this problem has increased to the point where I'm severely obese, with a BMI well in excess of 40 kg m2. Over the years, I've tried a number of diet and healthy eating plans, but have never been able to adhere to the recommendations for any length of time. I live alone, have a strained relationship with my family and have few friends that I feel I can rely on. Generally, my diet is regular in that I eat three meals a day and these meals contain a wide variety of foods. However, to help cope with my feelings of isolation, I treat myself with luxury foods such as chocolate, cheesecake, and ice-cream. Because this sort of eating is linked to my emotions, rather than level of hunger, it can occur at any time. When I get home from work I often go to the fridge for a small snack trouble is, after eating the snack I'm unable to stop eating and continue to consume a large...
First, despite great interest in ear acupuncture throughout the world, there is still a lack of evidence-based information about the fields in which auricular treatment could be applied more advantageously. Some evidence has been found for the treatment of pain disorders such as lumbago, cervical pain and migraine. Further evidence has been found for the treatment of drug addiction and obesity as well as for anxiety and insomnia. Auricular therapy for the treatment of psychosomatic disorders seems to be promising and should in my opinion be proposed as a complementary therapy in association with psychoactive drugs.
Think I am a good candidate for gastric bypass surgery What do I need to do to obtain insurance coverage for this
Ship with your primary care doctor, he or she will know about your weight loss attempts and will be treating you for any of your obesity-related illnesses or conditions (elevated cholesterol and triglycerides, gallstones, pancreatitis, abdominal hernia, fatty liver, diabetes or prediabetes, polycystic ovary syndrome, high blood pressure, heart disease, pulmonary hypertension, stroke, blood clots in the legs and lungs, sleep apnea, arthritis, gout, lower back pain, infertility, urinary incontinence, or cataracts).
Six to 12 weeks after infection, the patient enters the secondary stage, which features a skin rash that may last for months. The rash has crops of pink or pale red round spots, but in black patients the rash is pigmented and appears darker than normal skin. In addition, the lymph nodes may be enlarged, and there may be backache, headache, bone pain,
Once the static stabilizers of the hip including the iliofemoral ligament and labrum are injured, the hip must rely more on the dynamic stabilizers for stability. It is hypothesized that when capsular laxity is present, the psoas major, a dynamic stabilizer of the hip, contracts to provide hip stability. Over time, this condition can lead to stiffness, coxa saltans, or flexion contractures of the hip 14 . In addition, due to the origin of this muscle from the lumbar spine, a chronically contracted or tightened psoas major may be a major contributor to low back pain. Thus, hip instability or capsular laxity can trigger a whole spectrum of disorders that the physician must take into consideration when considering various treatment options.
Also like any other ligament, this part of the disc has a nerve supply and readily registers pain. The outer anulus complains if wrenched or overstretched by trauma (recall the pain of a twisted ankle) and also becomes painful if it adaptively shortens and cannot 'give' with movement. This is what happens when a disc dries and loses height and this part of the back then becomes painful to bend. As you will read in the next chapter, discomfort is invoked as the spinal segments attempt to pull apart and eventually inflammation sets up at that segmental level, which I believe is the nub of simple back pain.
Plate XB Multiple nevi on the left ear in a 43-year-old female with recurrent backache needing a lift block for a left short leg. Plates XA1 and XA2 Multiple almost symmetrical nevi on the medial border of the left and right helix in a 28-year-old male suffering with chronic backache due to multiple intervertebral discs bulging in a congenital narrowing of the spinal canal. Plate XB Multiple nevi on the left ear in a 43-year-old female with recurrent backache needing a lift block for a left short leg. Plates XC and XD Multiple nevi on the left helix and ear lobe in a 25-year-old male suffering with recurrent neck and back pain (C) the same patient carrying a left crossbite with a drift of the lower median incisive line towards right. At inspection there was a reduced development of the hard palate on the left side (D).
If a pregnant woman develops the infection, she may experience fever, tiredness, headache, sore throat, dry cough, or back pain. After a few days she will feel better but notice that the fetus is not moving she may miscarry up to the sixth month or go into labor prematurely some infants may be stillborn.
Plate IXD Spots and telangiectasia on the fossa triangularis and the upper branch of the anthelix on the left auricle. Aligned with these alterations and point zero are two nevi on the helix. The 41-year-old female had been operated on for a ovarian cyst on the left side and suffered with recurrent cystitis her other symptoms were backache, migraine and asthma.
Modification, and hyperextension brace 41 . Pain relief after thoracic discec-tomy is usually favorable in patients with radiculopathy, even for those with long-standing radiculopathy. Although it is controversial whether patients with localized back pain and axial pain without myelopathy require surgery or not, most surgeons do not recommend thoracic discectomy for isolated back pain unless it is associated with a neurological deficit 28, 29, 37, 38, 40 . This technique is not recommended for a large calcified midline thoracic disc that may require an anterior approach.
Numerous investigations have been conducted addressing the role of psychosocial factors in the prediction of prolonged pain and disability associated with work-related musculoskeletal conditions.26,104,105 Systematic reviews of prospective cohort studies indicate that initial levels of pain severity are predictive of prolonged pain-related disability.106 Gheldolf et al.107 found that pain-related fears were significant determinants of the inability to work in individuals with back pain. Cross-sectional and prospective studies have shown that high levels of pain catastrophizing are associated with more intense pain, more severe functional limitations, and more prolonged work absence.108-110 Lack of confidence in the ability to perform physical activities has been associated with more severe functional limitations.62,111 Pain severity and depressive symptoms have been associated with premature termination of involvement in pain management programs, with greater occupational disability,...
Accurate and efficient techniques for the lumbar area are extremely important. The highest percentage of patients presenting to osteopathic practitioners are suffering with low back pain, and techniques for the lumbar spine will probably be used more often than any others. The practical difficulties for a small operator in reaching a facet joint no bigger than the thumb nail, in the back of a patient weighing anything up to around 200 pounds, can be considerable. The sheer depth of the joints, the difficulty of controlling the area in many subjects, and the common complicating factor of an underlying acute or chronic disc lesion add to the problems. For treatment to be more specific, accurate mechanical diagnosis is essential. There is, therefore, a requirement for techniques designed to be efficient and feasible for the operator to perform without undue stress on his own structure. Cases of possible disc injury require particular care to avoid worsening the situation. An educated,...
In true labor, the contraction usually begins high in the uterus and radiates down the abdomen and into the lower back. The pain may be felt in the lower abdomen, lower back, hips or upper thighs. The sensation has been described as an aching feeling, pressure, fullness, cramping and backache.
Abscess (f CRC MAD) Acne (f VAD) Adenopathy (f JLH) Ague (f BIB) Alactea (f LMP PH2) Alcoholism (f SKY) Alzheimer's (1 FNF) Anemia (f1 AAH DEM JFM WAM) Anorexia (12 APA KOM PH2 PIP VAD) Arthrosis (f BIB) Backache (f DEM) Bacteria (1 WOI) Biliary Dyskinesia (2 PIP) Biliousness (f BIB) Bladderstones (2 KOM) Boil (f CRC LMP) Bronchosis (f12 APA BIB LAF) Bruise (f BIB CRC) Cachexia (f NAD) Cancer (f CRC) Cancer, bladder (f JLH) Cancer, bowel (f JLH) Cancer, breast (f CRC JLH) Cancer, liver (f JLH) Cancer, spleen (f JLH) Caries (f CRC LMP) Cardiopathy (f APA BIB) Catarrh (f BIB CRC) Cellulite (1 FT71 S73) Chill (f HJP) Cholecystosis (2 BGB CRC HH3 KOM PH2) Cirrhosis (SKYf ) Cold (1 APA) Colic (1 PH2) Congestion (1 PH2) Conjunctivosis (f AAH AKT) Constipation (f1 FAD SKY FT71 S73) Consumption (f BIB) Cough (f MAD) Cramp (f DEM) Cystosis (1 WAM) Dermatosis (f APA BGB KAP KOM PH2) Diabetes (f1 BIB CRC JFM KOM MAD PH2 X15704495 X14750205) Dropsy (f1 BGB BIB DEM KAP MAD) Dysentery (f AKT)...
Fig. 10.6 Tender points in a 60-year-old male patient with back pain associated with foot asymmetry (A) selection of points, on the medial surface, with a possible pseudo-pharmacological effect on back pain and stiffness (B). Dots lateral surface circles medial surface. Fig. 10.6 Tender points in a 60-year-old male patient with back pain associated with foot asymmetry (A) selection of points, on the medial surface, with a possible pseudo-pharmacological effect on back pain and stiffness (B). Dots lateral surface circles medial surface.
Abscess (f VAD WOI) Acne (f VAD) Adenopathy (f CRC HHB) Aging (f BOW) Alactea (f1 PH2 WOI) Allergy (f PED) Alopecia (1 APA KAP MAD) Anemia (f1 BOU GMH SPI VAD) Anorexia (f12 APA CAN KOM PH2 JAC7 405) Aposteme (f JLH) Arthrosis (1 KOM) Atherosclerosis (1 BGB SKY) Backache (f BOW) Bacteria (1 WOI X15331344) Blepharosis (f VAD) Boil (f BGB GMH KAP) Bronchosis (f APA BOU GHA PH2) Burn (f CRC IHB) Calculus (1 APA) Cancer (f1 APA) Cancer, abdomen (f1 FNF JLH) Cancer, bladder (f1 FNF JLH) Cancer, breast (f1 FNF JLH X15936223) Cancer, cervix (f1 BOW) Cancer, colon (f1 FNF JLH) Cancer, eye (f1 FNF JLH) Cancer, gland (f1 FNF JLH) Cancer, groin (f1 FNF JLH) Cancer, intestine (f1 FNF JLH) Cancer, kidney (f1 FNF JLH) Cancer, liver (f1 FNF JLH) Cancer, parotid (f1 FNF JLH) Cancer, rectum (f1 FNF JLH MAD) Cancer, spleen (f1 FNF JLH) Cancer, stomach (f1 FNF JLH) Cancer, testes (f1 FNF JLH) Cancer, throat (f1 FNF JLH) Cancer, uterus (f1 FNF JLH) Cancer, uvula (f1 FNF JLH) Carbuncle (f GMH KAP)...
The symptoms include back pain and muscle stiffness or spasms, with tingling sensation in the thigh or lower leg. Abdominal muscle strain is caused by overstretching or tearing of muscle fibers during sudden and violent movement of the trunk or trauma to the region. The symptoms include abdominal pain, lower back pain, and muscle spasms.
This ARP is sensitive in all patients with lower back pain, sciatica, or piriform muscle syndrome. Usually 7- to 10-cm-long needles are used for this ARP, inserted all the way to the bone. In many patients with chronic lower back pain and lower limb pain, more sensitive points can be found around the H16 inferior gluteal ARP on the gluteus medius and minimus muscles. These sensitive points should be treated along with the H16 inferior gluteal ARP.
Regarding her backache moreover, after the first sessions her excessive menstrual bleeding, as measured by the number of sanitary towels necessary, was reduced to less than half (Fig. 5.47). I was satisfied with the clinical result, but after 4 months ultrasound showed a further increase in size of some of the leiomyomas and the patient could not avoid hysterectomy 6 months later. This case led me to think about the mere symptomatic effect obtained on uterine bleeding by stimulating this area. I questioned myself whether there could have been a better outcome by slowing down the growth of leiomyoma, perhaps adding points in the endocrinal area.
The literature of Chinese traditional acupuncture indicates that diseased viscera project pain to predictable points or areas on the body surface. This is a manifestation of the segmental mechanism of the viscerosomatic neuronal reflex. For example, an inflamed kidney may cause sensitivity or painful spasm in the lumbar area, resulting in lower back pain with sensitive points palpable from T10 to L5 on the back muscle (erector spinae). For some patients, additional sensitive points may appear in the neck region. This segmental mechanism plays a very important role in treatment of pain symptoms and is discussed in detail later in the chapter. Needling these sensitive points that are associated with diseased organs relieves the pain and other symptoms such as cramping, inflammation, and ulcers.
Along with contractions, you may experience backache, upset stomach and, possibly, diarrhea. Some women report a sensation of warmth in the abdomen Some women experience back labor intense and relentless back pain, especially during active labor and transition. Often, back labor occurs when the baby is in an awkward position as it enters the birth canal. The baby's head is pressing against the mother's tailbone (sacrum). But that doesn't have to be the case. During labor and delivery, some women simply feel more tension in their backs than others do. To relieve back labor For lower backache, try ice packs or heat, or switch between hot and cold. Use a tennis ball, rolling pin or doorknob to apply pressure to the lower back. But don't take aspirin or any other pain reliever except acetaminophen (Tylenol, others) for your discomfort.
The majority of clinical pain is myofascial. It has been reported that 85 of back pain and 54.6 of chronic headache and neck pain is myofascial pain.8 We currently categorize myofascial pain into four types Muscles are considered deficient when they are weak or stiff and proper posture and muscle function cannot be maintained. Muscle deficiencies can be a source of pain and make a person prone to injury. The fact that weakened abdominal muscles can cause back pain is a typical example of this causal connection.
Abscess (f DAW) Adenopathy (f JLH) Ague (f DEM) Alopecia (f DAW) Ameba (f DAW) Amenorrhea (f FEL) Angina (f FEL HHB) Anorexia (f DAW DEM KAB) Apoplexy (f FEL) Arthrosis (1 FNF) Asthma (f DEM) Bite (f CEB) Bloat (f DAW) Boil (f DAW) Bronchosis (f HHB PH2) Cancer (1 FNF JLH) Cancer, colon (1 FNF JLH) Cancer, liver (1 FNF JLH) Cancer, neck (1 FNF JLH) Cancer, sinew (1 FNF JLH) Cancer, skin (1 FNF JLH) Cancer, spleen (1 FNF JLH) Cancer, throat (1 FNF JLH) Cancer, uterus (1 FNF JLH) Cancer, wrist (1 FNF JLH) Cardiopathy (f HHB PH2) Chest cold (f HJP) Cholera (f FEL) Circulosis (f PH2) Cold (f DAW DEM WIN) Congestion (f DAW FEL) Constipation (f DAW FEL) Cough (f DAW) Cramp (f DAW) CVI (f PH2) Depression (f HJP) Dermatosis (f DAW) Dropsy (f HJP) Dysentery (f DAW) Dysmenorrhea (f FEL) Dyspepsia (f CEB FEL) Ectoparasite (f DAW) Edema (f DAW) Enterosis (f FEL PH2) Epilepsy (f DAW) Fever (f BOU DAW DEM FEL HHB) Fibroid (f JLH) Fibroma (f JLH) Gastrosis (f FEL PH2 WIN) Glaucoma (f PH2) Headache...
Figure 9.3 shows the right ear of a 64-year-old male patient who asked to be treated with acupuncture because he suffered with recurrent backache, especially on the right side. The inspection of the right auricle did indeed show a little hyperemia of the anthelix corresponding to the thoracolumbar junction and some telangiectasia on the representation of the Chinese knee. My attention was attracted, however, by a linear telangiectasia crossing the liver area. PPT identified two tender points on it which were furthermore aligned with point
Obesity is frequently complicated by degenerative arthritis (DJD). Increased body weight leads to trauma of the weight-bearing joints and speeds the development of osteoarthritis in obesity. Knee and hip joints are particularly affected. However, obese patients have increased DJD of the hands, perhaps due to cytokines produced by adipose tissue, which may damage the cartilage in joints. Flattening of the arc of the planter surface of the feet (flat feet) occurs more frequently in obese people, presumably due to the stress of carrying excess body weight. Flat feet may lead to unsteady gait and aches and pains after walking. Increased fat deposition, particularly in the abdominal region, can change the natural curvature of the spine, causing lordosis and resulting in backache in obese people.
Symptoms One to three weeks after the mite bite, the victim feels tired and chilled, with a severe headache and backache. At the mite-bite site, a small swelling is followed by blisters and then by a black flat scab. Fever gradually rises over one week, followed by a rash over the trunk. If untreated, other symptoms including heart problems and delirium may follow, and the disease may be fatal.
Symptom pattern recognition is the key to diagnosis in any age group. Tumors are characterized by nocturnal, constant, and severe pain that often limits activities (Fig. 4). While the pain associated with the benign tumors of osteoid osteoma and osteoblastoma are often dramatically relieved by NSAIDs, pain associated with other tumors is generally not relieved by analgesics. Some mechanical causes such as disk herniation and spinal or sacral fracture usually present acutely or following a significant trauma, while others such as spondylolysis and Scheuermanns disease have a more insidious and chronic onset. Mechanical causes of back pain are typically worse later in the day but not at night, and are aggravated by activities and relieved by rest spondylolysis and spondylolisthesis are usually worsened by hyperextension and flexion. Some conditions such as spondylolysis, disk herniation, apophyseal ring injuries and fractures often present with very localized pain, others such as...
Diagnosing hip pain in athletes has been difficult for physicians in the past because of the parallel presenting symptoms shared with back pain, which may exist concomitantly or independently of hip problems 17 . Radiating pain below the knee, palpable pains in the hip and back, and weakness or sensory limitations blur the lines in appropriately differentiating between the hip and back 17-22 . Low back pathology involving the paravertebral muscles can lead to an abnormal soft tissue balance, causing an irregular tension absorbed by the hip joint, which leads to knee pain, groin pain, leg length discrepancies, and limited ranges of motion in the hip 23 . Muscle contractures of the hip flexors or extenders as well as leg length discrepancy have also been identified as factors that can cause hip and low back pain to present together 24-28 . Brown and colleagues 17 proposed that limited internal rotation associated with a limp and groin pain were the physical signs to make the distinction...
For example, if an athlete has lower back pain, the movement of his or her limbs is much slower and the range of motion of joints is limited because of fatigue or injury in the core muscles. If the condition persists, the feedback to the brain may unlearn or erase the previously stored memory to adjust to the fatigued or injured systems. This may lead to a handicapped performance and require more training to relearn the previous coordination and restore subconscious memory.
Backpacks The popularity of carrying books in a backpack is almost universal in American schools, but overloading the packs can be harmful. Some studies have shown that as many as half of all teenagers suffer from back pain, which may be caused by the improper use of backpacks. While many factors may cause back pain, such as increased level of competition in sports, poor posture while sitting, and long periods of inactivity, far too many children are also carrying backpacks that exceed 15 percent of the child's body weight. Therefore, a 60-pound child should carry no more than nine pounds of books on the back. A backpack is too heavy if the child has to struggle to get a backpack on or off, has back pain, has to lean forward to carry a pack, or has numbness or weakness in arms or legs.
As with the Western literature of the late nineteenth century, there are stages of obesity. For the authors, obesity has three phases. Initially, when the person looks acceptably plump, this indicates prosperity and others admire him then he looks overtly obese and funny and finally, he is in danger and others take pity on him. This final stage of obesity presents with symptoms including sweating, fatigue, backache, heart disease, sexual incompetence, etc. The cure for obesity is a balanced eating and lifestyle Avoid eating things that contain too much fat don't sleep more than eight hours take a warm bath two or three times a week walk two or three hours everyday and be persistent. In terms of medication, one should take either traditional medication such as wodu or, better yet, thyroid tablets. The later are the classical pharmaceutical intervention which certainly can reduce weight by making the individual hyperthyroidic, increasing basal metabolism. This will lead to weight loss...
Patient example Florinda is a 38-year-old female whose FM flares when she has insomnia for more than three consecutive nights. Her FM onset began shortly after her first child was born nine years earlier. She had noticed a gradual onset of low back pain and difficulty sleeping. She and her primary provider wrote off these Patient example Martin is a 71-year-old man who has had chronic back pain for forty years along with peripheral neuropathy (painful sensations in his lower legs and feet) from diabetes for twenty years. He recently was diagnosed with FM. His nephrologist (a kidney specialist) diagnosed him with FM, which she was able to do because many of her other patients with end-stage renal disease who have gone on dialysis from diabetes also have FM. She consulted with Martin's internist who elected to try Gabapentin, a medication option available through the Veteran's Administration, the organization that is Martin's medical provider. Martin's overall FM and his peripheral...
Components of, 12b, 13 integration of stress response in, 12 Liver, visceral reflex zones of, 168 Local acu-reflex points, 122 Local reflex loops, 8-9 Local twitch response, 160-161 Long-distance runners, case histories athlete with previous injuries, 209b athlete without previous injuries, 209b Long-term depression, 23-24 Long-term memory, 20-21 Long-term potentiation, 23-24 Lower back, forces on, 29, 30 Lower back pain, musculoskeletal
The patients belonged to a selected group that I had treated previously with acupuncture for disorders such as chronic neck and back pain, vertigo, atypical facial neuralgia, migraine, etc. One common characteristic in these patients was that the result of the treatment had been rated by me in the follow-up as unsatisfactory and not durable. Given the possibility that craniomandibular disorders may be responsible for postural changes in the case of chronic myofascial pain, Dr Ridi made a complete evaluation of the stomatognathic system of these patients, including EMG.
Pain in FM might be experienced as aching, stabbing, burning, numbness, or all of the above at different times. People with FM often describe their muscles as feeling torn, exhausted, or overworked. They may also feel muscles twitch or even spasm. Sometimes the pain is felt deep in muscles and bones, while at other times it is located more toward the surface of the body. Most patients say their pain is always present, although the severity will wax and wane at different times throughout the day, with weather changes, and after stress or exertion. Back pain is the most common location of pain in FM. It is the job of the clinician to rule out any other causes of back pain and to recommend repair for pain that can be helped by regional anesthesia or surgical procedures. Stiffness is one of the least understood symptoms, although most persons with FM describe painful body stiffness first thing in the morning or after extended periods of stillness. Patients sometimes complain of stiffness...
Predictive validity, as required for an instrument that should provide clinically meaningful information (clinimetric approach), was studied by selecting relevant outcome variables in several specific patient populations (for a summary, see Table 2). In patients admitted to a general medical ward, those classified by the INTERMED as having a high degree of case complexity were found to have a doubled length of hospital stay and increased use of medications, nurse interventions, and specialist consultations 43 . The findings were replicated later 44 in addition, poorer quality of life at discharge was documented for the complex patients. In patients who had diabetes, INTERMED scores correlated with HbA1c values assessed 6 months before and 3 and 9 months after the INTERMED interview 45 . In a sample of patients who had low back pain who had participated in a 3-week functional rehabilitation program or who had applied for disability compensation, INTERMED scores were significantly...
Select the points according to a given medical diagnosis and consider them as having a pseudopharmacological activity
In the patient in Figure 10.6 the main symptom to treat was a relapse of chronic backache. The patient had no irradiating pain to the legs but showed a marked stiffness of the spine on flexion. The majority of points was concentrated on the right ear, even if the patient did not show a clear prevalence of pain on this side (Fig. 10.6A). Most of the points were located in correspondence with the dorsolumbar tract secondary points were also found on the back of the ear, corresponding to the representation of the neck muscles. Two further points were found on the representation of the right Chinese knee (AH4 xi) and toe (AH2 zhi)
Obesity-related illnesses and conditions include elevated cholesterol and triglycerides, gallstones, pancreatitis, abdominal hernia, fatty liver, diabetes and prediabetes, polycystic ovary syndrome, high blood pressure, heart disease, pulmonary hypertension, stroke, blood clots in the legs and lungs, sleep apnea, arthritis, gout, lower back pain, infertility, urinary incontinence, and cataracts. If you have one of these conditions gastric surgery can be considered when the BMI is 35 or higher. In many cases gastric bypass surgery can dramatically improve obesity-related conditions. I have had many patients who after gastric bypass surgery were able to give up their blood pressure, diabetes, and cholesterol lowering medications. Many young women who have been unable to become pregnant conceive and go on to have healthy babies (more on this later).
Pregnant women are more vulnerable to listeriosis, probably because of decreased cellular immunity, and because the organism can proliferate in the placenta in areas not reached by defense mechanisms (Lorber, 2000). When pregnant women are infected, central nervous system involvement is very uncommon. Instead, patients tend to develop a bacteremia with self-limited fever, myalgias, arthralgias, headache, and backache. Therefore, it is easy for listeriosis in pregnancy to escape detection, unless a blood culture is obtained during the mild febrile illnesses. Perinatal infections are much more severe, with stillbirth, neonatal death, or premature labor as frequent outcomes. There are two types of neonatal infections an early onset sepsis syndrome, related to an in-utero infection, and late onset meningitis, caused by infection at the time of birth (Lorber, 2000 Mylonakis et al., 2002).
Promising results have emerged, for example, efficacy of acupuncture in adult post-operative and chemotherapy nausea and vomiting and in postoperative dental pain. There are other situations such as addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and
Alternatives to conventional medical care are increasingly popular in the United States, and their growing use by consumers represents a major trend in Western medicine. Alternative therapies appear to be used most frequently for medical conditions that are chronic, such as back pain, arthritis, sleep disorders, headache, and digestive problems. Surveys of U.S. consumers have shown that more people visit alternative practitioners each year than visit conventional primary-care physicians. Consumers do not necessarily reject conventional medicine, however. Many simply feel that alternative modalities offer complementary approaches that are more in line with their personal health philosophies.
There are congenital bone problems that affect the neck, such as Klippel-Feil syndrome. These are easily diagnosed on X-ray. Other bone problems such as osteoid osteoma (see Knee Pain ) may occur in the neck with findings identical to when they occur lower in the back. Herniated discs (see Back Pain ) and infections may also occur in the neck. It is important to recognize that these problems may initially be reported as headaches and not recognized as coming from the neck.
Fructose, which is fruit sugar not to be confused with high fructose corn syrup (HFCS), does not stress the pancreas like white table sugar. Eating fruit can help restore needed nutrients and improve bowel function, all which are needed to live a happy life Some fruit, though, should be eaten in moderation. Patients who suffer with left neck and mid-back pain may have a common source for that pain the regular consumption of bananas, raisins, grapes, pineapple, and any dried fruit. All of these fruits are loaded with sugar.
Anorexia (f UPW) Backache (f ZUL) Bacteria (1 X9644084) Boil (f UPW ZUL) Cancer (f1 JLH X3621146) Cancer, skin (f1 JLH X3621146) Cataract (f UPW) Constipation (f ZUL) Cough (f HOC) Cystosis (f HOC ZUL) Dermatosis (f1 BIB ZUL X3621146) Dropsy (f ZUL) Edema (f HOC) Enterosis (f ZUL) Fever (f UPW) Fungus (f BIB) Gas (f ZUL) Impotence (f BIB HOC ZUL) Infection (f1 BIB X9644084) Infertility (f BIB HOC ZUL) Itch (f ZUL) Keratoacanthoma (1 X3621146) Keratosis (1 X3621146) Leprosy (f UPW) Mycobacteria (1 X9644084) Mycosis (f BIB) Ophthalmia (f UPW) Otosis (f UPW) Pain (f ZUL) Proctosis (f BIB) Ringworm (f BIB UPW) Sore (f UPW) Swelling (f HOC) Toothache (f BIB ZUL) Tumor (f JLH) Wound (f BIB ZUL).
The first widely recognized group of children with spondyloarthropathies were teenage boys with swollen knees and low back pain. They stood out because under the old nomenclature they were classified as pauciarticular-onset arthritis, even though typical pauciarticular-onset arthritis occurs in young girls. We now know that teenage boys with swollen knees have spondyloarthropathies. (The condition does occur in girls, but rarely in severe form.) Unlike young girls with pauciarticular-onset arthritis, who usually get better, the boys often have persistent chronic arthritis. The boys rarely are ANA-positive, and if they get eye disease, it is acute and painful, not the silent eye disease seen in younger children. In addition, their disease may start in the hip and is often associated with back pain.
This is a systemic joint disease characterised by inflammation of the intervertebral disc spaces, costo-vertebral and sacroiliac joints. Fibrosis, calcification, ossification and stiffening of joints are common and the spine becomes rigid. Typically, a client will complain of persistent or intermittent lower back pain. Kyphosis is present when the thoracic or cervical regions of the spine are affected and the weight of the head compresses the vertebrae and bends the spine forward. This condition can cause muscular atrophy and loss of balance and falls. Typically this disease affects young male adults.
Adenopathy (f CRC JLH PH2) Amenorrhea (f CRC) Arteriosclerosis (f BOU) Arthritis (f BIB PHR PH2) Asthma (f BUR CRC PHR PH2) Backache (f PHR PH2) Bite (f BOU) Bronchosis (f CRC PHR PH2) Burn (f AAH) Cachexia (f CRC) Cacoethes (f CRC) Cancer (f CRC) Cancer, breast (f CRC JLH) Cancer, colon (f JLH) Cancer, face (f JLH) Cancer, ganglia (f JLH) Cancer, gland (f JLH) Cancer, intestine (f CRC) Cancer, liver (f JLH) Cancer, mesentery (f JLH) Cancer, neck (f JLH) Cancer, nose (f CRC) Cancer, pancreas (f CRC) Cancer, parotids (f CRC) Cancer, penis (f JLH) Cancer, scrotum (f JLH) Cancer, skin (f CRC JLH) Cancer, spleen (f JLH) Cancer, sternum (f CRC) Cancer, stomach (f JLH) Cancer, testicle (f JLH) Cancer, uterus (f CRC JLH) Cancer, viscera (f CRC) Carcinoma (f CRC) Carditis (f CRC) Cerebrosis (f PH2) Chorea (f CRC) Colic (f CRC) Cough (f CRC PHR) Cramp (f PHR PH2) Delirium (f CRC) Depression (f PH2) Dermatosis (f CRC) Dyslactea (f CRC) Dysmenorrhea (f CRC) Eczema (f CRC) Edema (f JLH) Enterosis...
Another issue regarding the irregularity of distribution of auricular points is that skin alterations, but also points with greater tenderness and lower electrical resistance, tend, for reasons still to be understood, to be concentrated on particular sectors (see Figs 4.7, 5.5, 7.1). It is possible that these clusters of high value are the representation of recurrent diseases with a higher rate of symptoms in specific areas of the body, as for example backache and neck pain reported respectively by 82.6 and 74.3 of my patients. Another hypothesis which has already been discussed is that this asymmetry, respecting Bossy's homunculus principle, may also be correlated with the functions of the body regulated by the autonomic nervous system. Therefore the representation of ganglion and plexus related to the cervical sympathetic and cranial parasympathetic systems could be represented on sectors 5-11 of the Sectogram and the abdominal sympathetic system could be represented on sectors...
It is believed that the most common cause of backache is cramp of the short muscles, particularly the rotators. If cramp occurs in one muscle, the muscles surrounding it contract to prevent movements that could tear it. This, in turn, cuts off the blood supply to the area, causing cramp in other muscles. Cramp may result from overexertion, unaccustomed movements, or minor vertebral displacements caused by sudden stress.
As an example of this, consider a patient who complains of increasing back pain the longer he is upright. He gets some relief when lying down, but is much worse when carrying any weight. He has increased pain when descending in an elevator as it draws to a stop and finds that even lifting an arm out in front of him causes back pain. This pattern of symptoms is typical of a weight-bearing structure giving pain on increased loading. The two main weight-bearing structures in the lower lumbar spine are the discs and the vertebral bodies. Disc disease is not in itself a contra-indication to treatment, but will alter the choice of technique. Vertebral body damage is clearly a condition where treatment must be withheld until a clear diagnosis has been established. If there is bony weakness due to a secondary cancerous deposit, any technique putting forces through that segment would be unwise. Many other scenarios
Back pain, particularly lower lumber and cervical pain, commonly complicates chronic pain conditions where the pains start are elsewhere. The adaptive positioning of a young person with leg or abdominal pains particularly affect the gait and resting positions and thus alter the loads on the spine and pelvis.
The bark is very bitter and is prescribed for indigestion, as a vermifuge, and it is used as a medication for lumbago in South Vietnam (15). In Cambodia, the roots are used as antidotal, and in jaundice, dropsy, and cachexia. The whole plant is very bitter and supposed to be a febrifuge (15). The fruits and flowers are antidysenteric (10,15).
A PT can evaluate and treat regional pain, balance issues, and discuss energy conservation to manage fatigue. Treatments employed by PTs may include rehabilitation exercise, manual therapies, neurosensory balance analyses (measuring nerve transmission information to and from peripheral extremities to the CNS), gait analyses with corrective orthotics fitting, and a multitude of management strategies for long-term self-care. They can also teach patients to use spray-and-stretch. Spray-and-stretch requires a prescription from the provider for fluo-romethasone cooling spray (a skin refrigerant). The PT can teach patients to spray the medication on selected muscles, which allows painfully tight muscles to be stretched with less discomfort. Patients can then use spray-and-stretch at home whenever needed. PTs may fit patients for prescription orthotics for foot pain and work in concert with an orthotist to ensure proper fitting. Finally, PTs may administer ultrasound therapies to reduce pain...
How can I rationalize surgically changing my insides and risking significant complications even death just to lose
An article in the Journal of the American Medical Association (January 8, 2003) reported that marked obesity in a man aged twenty to thirty could reduce his life expectancy by up to thirteen years. An extremely obese woman in this same age range might expect to lose up to eight years compared to her normal-weight friends. These are not small numbers. People who are overweight are more likely to develop obesity-related illnesses such as heart disease, pulmonary hypertension, stroke, diabetes, sleep apnea, and arthritis. And obese people are much more likely than lean people to develop blood clots in the legs and lungs, gallstones, pancreatitis, abdominal hernia, fatty liver, polycystic ovary syndrome, high blood pressure, arthritis, gout, lower back pain, infertility, urinary incontinence, and cataracts.
Conversely, as the chest wall tightens the upper back muscles grow weak and stay in a lengthened position. This creates poor support for the neck and can lead to headaches as well as upper back pain. And when abdominals grow weak from disuse, the entire musculature of the lower trunk can lose its girdle-like, stabilizing purpose.
Finally, bear in mind that being pain-free is usually a temporary condition. Most of us live with minor aches and pains, which occur for a variety of reasons. To prove this, you could take a poll of your colleagues or friends. Ask them if they have experienced any one of these three conditions in the past few weeks (1) low back pain (2) neck pain or (3) headache. Most adults have had pain of one of these types in the recent past. So, although your pain filter may be working overtime, do keep in mind that most pain conditions are relatively benign.
For example, when treating low-back pain, the lumbar muscles, gluteal muscles, hamstring muscles, calf muscles, hip flexor muscles, abdominal muscles, iliotibial band, pectoral muscles, and even neck muscles can be treated in the same session. The same procedure can be repeated in subsequent sessions until complete healing is achieved. The same needling procedure will also be effective with asymptomatic healthy persons for preventing low-back, hip, and neck problems.
In one study of 220 survivors, participants completed the EORTC QLQ-C30 and the Ferrans and Powers Quality of Life Index for Cancer.4 Back pain was reported by patients with osteosarcoma who had undergone amputation of an extremity and Wilms tumor patients who had received abdominal radiation therapy. Multiple models to predict quality of life showed that pain (p -0.10 to -0.13, p 0.01) dyspnea
Melons are an excellent source of minerals and vitamins, but limit your watermelon consumption. Watermelon has a high concentration of carbohydrates. I have seen patients have acute left neck and low back pain due to sugar overload from eating too much watermelon. Cantaloupe, on the other hand, is dense and lower in natural sugar than watermelon. Honeydew is somewhere between. Harvey Diamond, in his best seller Fit for Life, suggests eating melon first, prior to eating other fruit choices. A delicious kid treat blend cantaloupe and honeydew in a food processor, separately, and pour the puree into ice cube trays for an afternoon refresher.
However, in past studies with Dr. Ronald Melzack at McGill University, surprisingly, we found that Workman's Compensation patients with back pain responded better to biofeedback than MS patients with back pain did. Biofeedback, however, may be helpful in some MS patients. More sophisticated approaches to biofeedback have recently evolved from spinal cord injury centers and other medical clinics.
Abscess (f HAD) Alzheimer's (1 COX FNF) Anxiety (f BOW) Arthrosis (1 COX FNF) Asthma (f1 HHB X12244881) Backache (f HAD) Bilharzia (f BIB) Bleeding (f BIB HAD) Boil (f DEP) Bronchosis (f1 BIB DEP X12244881) Bruise (f HAD) Callus (f BIB) Cancer (1 COX FNF JLH) Cancer, anus (1 BIB COX) Cancer, breast (1 BIB COX) Cancer, eye (1 BIB COX) Cancer, penis (1 BIB COX) Cancer, spleen (1 BIB COX) Cancer, teat (1 BIB COX) Cancer, testicle (1 BIB COX) Carbuncle (f DEP JLH) Cerebrosis (1 X12244881) Chest ache (f BIB) Colitis (1 FNF X12244881) Congestant (f HAD) Corn (f JLH) Cough (f HAD) Crohn's Diseases (1 X12244881) Dermatosis (f GMH) Dysentery (f BIB) Dysmenorrhea (f BOW) Dyspepsia (f HAD) Edema (1 FNF) Fever (f BIB) Gingivosis (f BOW) Gonorrhea (f BIB) Hemorrhoid (f HAD) Hepatosis (1 PR14 510) Infection (f BOW) Laryngitis (f BIB DEP) Leprosy (f BIB) Leukemia (1 FNF) Mastosis (f GHA JLH) Meningioma (1 FNF) Myelosis (f HAD) Neurosis (f BIB GHA HAD) Ophthalmia (f GHA JLH) Orchosis (f JLH) Pain (f...
Numerous studies now demonstrate that patients who have general medical disorders and behavioral health disorders, such as depression or anxiety, have greater morbidity associated with their medical illness, increased health care service use, and worse functional outcomes 2,23,37,39,66,71-80 . One study by Druss and colleagues 71 illustrate the impact that comorbid depression has in patients who have diabetes mellitus, cardiac disease, hypertension, and back pain in three domains (ie, clinical, economic, and functional) (Table 6).
The frequency with which common psychiatric disorders are encountered in general medical outpatients is even greater than has been reported in community samples 13-20 , especially when patients present with chronic medical conditions 15,21-23 . Furthermore, some medical diseases are associated with a higher incidence of specific psychiatric syndromes than are others. For instance, patients who have respiratory and gastrointestinal illness have a higher rate of anxiety disorders, whereas patients who have back pain, multiple sclerosis, Parkinson's disease, cancer, and stroke are more likely to have depressive disorders. Patients who have some conditions, such as cardiac disease and diabetes mellitus, have a high incidence of both.
In ancient pharmacopoeia, the herb is used to tonify the liver and kidney, to strengthen bones and tendons, and to prevent miscarriage (1,2). Decoctions of eucommia bark have been used for, among other things, the relief of back pain, to increase strength, to make bones and muscles strong, to increase recovery from fatigue, to increase ability to remember, and to induce an antiaging effect. It is prepared as Du-Zhong tincture (5 or 100 ), 1-5 mL taken orally thrice daily. It is frequently formulated with ginseng, Cordyceps, angelica root, and many other herbs (3). Ingestion of EU bark and leaves and their extracts has not been reported to induce any known side effects.
If you restrict your hours in bed to eight out of the twenty four and do not lie about in a chair during the day, you will ensure that your muscles are active all day and using fuel. This is exercise through the maintenance of posture - much more effective in getting weight off than a game of squash or a quarter-mile sprint, either of which will throw a serious strain on your locomotor system while you are overweight and may leave you with backache or a strained foot.
Magnet therapy to be helpful in FM, electrical therapies have displayed a role in pain relief. Prior to understanding the chemistry of synaptic exchange (specialized junctions through which neurons signal to each other), electrical therapies were common. Nowadays, medications are more commonly used to alter synaptic exchanges, and electrical therapies have fallen into disuse. The FDA has approved certain electrical devices for the treatment of recalcitrant depression. None have been approved for the treatment of FM. Painless stimulation through the scalp or earlobes are the most common therapies. Further study is needed to know if these will be helpful for people with FM. An older, better studied electrical therapy is the Transcutaneous Electrical Nerve Stimulation (TENS) unit, most commonly used for chronic back pain.
FM is found in all age ranges from children to the frail elderly. Research funded by the National Institutes of Health has begun to find out more about FM in both of these age spans. One study found that one-quarter of adult FM patients report their symptoms started before fifteen years of age. Other studies have shown that the disorder's principal symptoms are the same for children as for adults, although children have more commonly reported nighttime growing pains, pain in extremities, poor sleep, and difficulty keeping up with their peers in athletic endeavors. In contrast, children have reported less low back pain, hand pain, or symptom changes associated with mood or weather. Indeed, pain is not one of the primary complaints in children with FM. This is likely because young children have a hard time knowing their pain isn't normal. Claudia Marek, author of The First Year Fibromyalgia, interviewed a group of children and was amazed to discover 50 percent of her interviewees...
Tina says that she feels so much better since she's started taking guaifenesin to treat her fibromyalgia. According to Tina, she still has plenty of back pain, fatigue, and other symptoms of fibromyalgia. But compared to how she felt before, Tina says that she's radically better now. Marcy, on the other hand, has been taking guaifenesin faithfully for two years and has yet to see any results. But Marcy figures that the positive effects should kick in anytime now, so she's continuing to take the drug. Tom took guaifenesin for a month, but didn't notice any improvement in his condition, so he gave up on it.
Spontaneous pneumomediastinum, also known as mediastinal emphysema, is relatively uncommon but well documented in athletes. The major symptoms include neck and chest pain, shoulder and back pain, abdominal pain, weakness, dyspnea, dysphagia, sore throat, and swollen neck. Some patients may experience shortness of breath and difficulty swallowing.
Dry needling as a specific soft tissue therapy is a valuable modality which has few or no side-effects if practiced properly. Several evidence-based studies show that needling is more effective than conventional therapy for back pain.5,6 This is because dry needling therapy emphasizes and promotes the healing of tissue, with pain relief as a result or positive side effect.
For women who have been previously physically active, continuation of physical activities during pregnancy and postpartum can be advantageous (Mottola and Wolfe, 2000). Unfortunately, too much or improper activity can be injurious to the woman and fetus. Regular exercise during pregnancy counteracts the effects of deconditioning that lead to fatigue, loss of muscle tone, poor posture, joint laxity, back pain, and muscle cramping (Brooks et al., 2000). Likewise, physical fitness improves glucose tolerance and insulin action, improves emotional well-being and helps
For parents, the first concern about osteoporosis or osteopenia may come when the doctor prescribes a medicine that is known to cause bone loss or when a doctor makes a casual comment when looking at the child's X-rays. Sometimes the osteoporosis is not noticed until the child complains of back pain due to vertebral fractures that are the result of osteoporosis.
The major complications of osteoporosis are fractures of various kinds. Stress fractures in the limbs of athletes become evident as pain at the site of the fracture. Vertebral fractures in children with chronic disease cause severe back pain. Occasionally, children are recognized to have osteoporosis only when they fracture an arm or leg after a minor fall.
If you haven't had back pain up to this point, you may start to have it this month. Back pain affects half of all pregnant women and typically begins between the fifth and seventh months of pregnancy. You're probably continuing to curve your lower spine backward to compensate for how your center of gravity has shifted under the weight of your baby. If you didn't do this, you might fall over. This change in posture puts a strain on your back muscles and ligaments, and it may be causing back pain.
As a disc at the front of the spine drops in height it causes overriding of the bone-to-bone junctions (called the facet joints) at the back of the spine. The upper vertebra settles down on the one below, causing bony rub between parts of the spine which should only have fleeting contact. Early on, this simply inflames the soft tissues around the facet joints but eventually it causes arthritic change as it erodes the cartilage covering the bone. Facet joint trouble also is a relatively common form of low-back pain.
The product Phytodolor contains alcoholic extracts of Populus tremula, Fraximus excelsior and Solidago virgaurea and is standardised to 0.14 mg mL of isofraxidine, 1 mg mL salicine, and 0.07 mg mL of total flavonoids. As part of this combination, goldenrod has been investigated in patients with RA, osteoarthritis and back pain. Pain was significantly reduced by treatment with Phytodolor in a placebo-controlled study of 47 patients (Weiner & Ernst 2004). Symptom relief was equally effective amongst patients receiving half strength, normal (60 drops three times daily) or double-strength treatment. A shorter placebo-controlled study of 2 weeks duration found that Phytodolor reduced the need for conventional drug doses in subjects with 'at least one rheumatological diagnosis' (Weiner & Ernst 2004). Similarly, Phytodolor reduced requirements of diclofenac compared to placebo in a smaller study of 30 patients (Weiner & Ernst 2004). A 2-week placebo-controlled study of 30 subjects with...
Essentially the team need to show and reinforce to the family the fact that many pains are not useful. It is helpful to give common examples of non-useful pain. Headaches are extremely common but very rarely due to conditions such as brain tumors or vascular events. Back pain is one of the most common presentations to general practitioners. But, again, very rarely does this signify malignancy or arthritis.
DeMaria encourages you make a choice as to what you want to put into your body. When I first came to the office I had back pain, digestive problems and some sinus problems. I took Pepto Bismol and Rolaids regularly. I now make conscious decisions reducing my sugar intake and am aware of my general eating habits. I have also greatly reduced my fast food consumption. The most challenging change for me has been to decrease my pop soda intake, but after cutting back, the desire is diminishing. Dean Birdsall
Anorexia (f NAD) Asthma (f1 DAD X15598576) Biliousness (f NAD) Bronchosis (f BIB) Calculus (f KAB) Cancer (f1 DAD JLH) Caries (f KAB) Colic (f DAD) Constipation (f EGG) Cough (f DAD) Cramp (f EGG) Diarrhea (f DAD) Dysentery (f NPM WOI) Dyspepsia (f EGG NAD) Dysuria (f KAB) Earache (f KAB) Enterosis (f DAD) Fever (f NAD) Gastrosis (f DAD) Halitosis (f KAB) Hemorrhoid (f KAB) Hiccough (f KAB) High Blood Pressure (1 WO2) Impotence (f KAB) Infection (f HJP) Inflammation (f1 NAD X15598576) Intoxication (f KAB) Jaundice (f DAD) Leprosy (f KAB) Lumbago (f BIB) Nausea (f NAD) Odontosis (f KAB) Ophthalmia (f HJP) Otosis (f KAB) Palpitation (f WO2) Pharyngosis (f KAB) Rheumatism (f UPW) Sclerosis (f DAD) Seasickness (f BIB) Snakebite (f NAD) Sore Throat (f EGG KAB) Splenosis (f DAD) Sting (f NAD) Stomatosis (f EGG UPW) Stomachache (f DAD HOC) Stomatosis (f EGG UPW) Syphilis (f DAD) Thirst (f NAD) Tumor (f DAD) Venereal Disease (f DAD) Worm (f EGG).
Fibromyalgia and other forms of idiopathic pain are a relatively common diagnosis in new patients presenting with back pain to North American pediatric rheumatology centers (90,91). Fibromyalgia generally develops during late childhood and adolescence, with girls much more commonly Probable nonspecific back pain Figure 3 An algorithmic approach to diagnosis of causes of back pain. aThese are common X-ray findings that may not be causative therefore continue algorithm to look for other causes. Abbreviations PE, physical exam SI, sacroiliac Sx, symptoms. Source Reprinted with permission from Ref. 92. affected than boys (90,91). In addition to back pain, these patients usually complain of widespread musculoskeletal pain, and on examination have significant tenderness at specific soft tissue locations called tender points. The symptoms often have a gradual onset, and patients frequently have associated symptoms such as fatigue, difficulty sleeping, non-restorative
Adolescents with specific causes of back pain should be treated according to the diagnosis. For example, if a mechanical etiology is suspected, patients should be managed with conservative treatment such as short-term restriction of activity or modification of activity, followed by flexibility and strengthening exercises. Bracing can be helpful for some mechanical problems such as posterior verterbral arch stress fracture, spondylolysis, spondylolisthesis, or Scheuermann's disease (7,45,69). Only rarely is surgery required for adolescent mechanical back problems. Back pain due to arthritis and inflammation should be treated initially with NSAIDs, and if there is little or no response, other anti-rheumatic medications can be considered. The appropriate treatment for nonspecific back pain is less clear, and only a limited number of studies have been carried out in adolescents. Most adolescent back pain is mild and self-limited, and does not require
Adolescent back pain generally has a better prognosis than adult back pain. Mechanical causes usually respond to conservative treatment, as they are only rarely caused by degenerative or progressive conditions such as spinal stenosis or disk herniation. Nonspecific back pain in adolescents is also thought to have a better outcome than adult nonspecific back pain. Few adolescents (7-11 ) seek medical treatment for their back pain, and only rare cases are hospitalized or become disabled (4,6,15,19,20,5,70,75). In contrast, back pain in adults is the fifth most common reason for physician visits (76), and although most adults with acute LBP will improve within three months, 6 to 20 will develop chronic back pain, and 25 to 75 still have back pain one year later (13,72,73,77). In adults, preexisting psychological distress, work compensation issues, other chronic pain issues and job dissatisfaction are all associated with an increased risk of developing A few prospective studies have been...
The Kovacs Foundation, a Spanish organization interested in promoting medical work, runs this site. This site reviews anatomy, etiologies, diagnosis, and exercises. It also provides the information in Spanish. This site has a medical advisory board from different areas related to spine care, which provide peer-reviewed patient information. Topics covered included spondylolysis, Scheuermann disease, scoliosis, and sports related back problems in children and teens. Calcium requirements during growth are also reviewed. Adult topics include back exercise, chronic pain, osteoporosis, surgical treatment, office furniture selection, and sleep advice. This web site of the National Pain Foundation reviews common causes of adult and pediatric back pain, and discusses psychological factors related to chronic pain in pediatric patients and their treatment. This is the site of the National Institutes of Health, with links to other sites. Many topics are covered including anatomy, etiologies,...
Case 11 A 16-year-old football lineman presents with 3 weeks of low back pain in the off-season. He has been doing team conditioning and weight training and remembers his back hurting after squatting 350 pounds. He has right sided low back pain that goes into his buttocks region. He denies weakness into his legs. He has pain when he drives in the car or sits for a long time. Disc disease, a bulging of the intervertebral disc with or without nerve root impingement, is more frequently an adult back disorder but does occur in adolescents. Athletes lifting weights are particularly prone to disc problems due to improper positioning or lifting excessively heavy weight especially with squatting. Athletes present with low back pain that may radiate into the buttocks or leg or cause parasthesis into the lower extremities. Pain worsens with forward flexion, sitting, or driving. Straight leg raises may be positive however, some adolescent disc bulging may be more central without nerve root...
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Back Pain Revealed
Tired Having Back Pains All The Time, But You Choose To Ignore It? Every year millions of people see their lives and favorite activities limited by back pain. They forego activities they once loved because of it and in some cases may not even be able to perform their job as well as they once could due to back pain.