Wednesday, June 19, 2013

Treating Hip Pain Using Chiropractic Methods


The hip is a stable joint, reinforced by strong ligaments, and several powerful groups of muscles. It is much easier to harm the shoulder, knee, and ankle than to injure the hip. Even so, hip problems can be highly disabling.

Daily activities such as walking down stairs, and turning in bed can be uncomfortable or painful for patients with a hip problem. The hip links to the lower extremity kinetic chain, transferring ground-reaction forces from the legs to the trunk.

Some hip problems are due to trauma, while many other conditions are due to overuse or misuse. Muscle imbalance impairs the normal joint function, limiting the functional range of motion. Degenerative and pathological hip conditions can be challenging to diagnose. Many times, patients who complain of pain and discomfort in the lower back, the buttocks, or the legs can be traced to a hip condition. And conditions such as hernia or aneurysm, without an obvious hip connection, may also prompt pain in the hip or groin.

Often, hip disease manifests as pain in the groin radiating all around the thigh and the knee. In such cases, the real challenge is ensure that the hip and thigh pain is a pathology of the hip as opposed to intra-abdominal or retroperitoneal pain. The majority of hip conditions are related to biomechanical issues. For example, when a patient strains a knee, and has knee or ankle problems, the gait is affected, causing hip pain. A change in gait may include carrying a baby or small child on the hip. People may also complain of hip pain when they are sitting differently. Basically, asymmetry of motion can cause a hip problem.

Doctors of Chiropractic see many hip conditions develop over a period of time, such as trochanteric bursitis, recurrent muscle strains, piriformis syndrome, and chronic degenerative changes in the hip joint (degenerative joint disease). Chiropractors have thorough knowledge of hip joint function, its involved muscles, and the adequate exercise regimen to help patients with hip problems.

Hip Treatments

Gentle stretching of specific muscle groups can be performed even right after an injury. Gradual movements of the joint should also be employed in order to prevent the formation of adhesions. In addition, vigorous exercise of the contralateral leg muscles helps create a neurological stimulus in the injured muscles that offsets atrophy. In the case of an acute injury with muscle swelling, however, an initial period of rest may be needed.

Piriformis syndrome and trochanteric bursitis may benefit from specific stretching exercises. Piriformis syndrome develops when the piriformis muscle inflames the sciatic nerve, causing hip aches down the back of the leg. Treatment should include gentle stretches of the piriformis muscle.

Trochanteric bursitis brings pain to the lateral part of the hip. Localized pain in this area indicates the need for stretches to lengthen this segment of connective tissue.

Weakened or injured muscles can be strengthened with the use of isotonic resistance exercises from a machine, elastic tubing, weights, or the body's own weight.

Since biomechanical alignment issues are linked with chronic hip complaints, patients must be screened for leg-length discrepancies and pronations. The failure to address these factors may cause recurring hip complaints, or symptoms in other locations. The lower extremities must be properly aligned to ensure the hip joints work smoothly.

Causes

In patients in their sixties and older, with preexisting conditions such as knee replacements, hip pain can result from age-related degenerative conditions. Osteoarthritis of the hip joint is one such degenerative condition that is commonly reported. Osteoarthritis of the hip joint may also occur after many years of improper biomechanics and dysfunction.

Here follows hip problems that originate within and around the hip:

  • Overuse injuries, repetitive motion, or gait conditions

  • Serious injuries, such as fractures

  • Avascular necrosis

  • Joint or bone infections near the hip. These are followed by fever, redness, and/or swelling

Contact a Chiropractic Doctor

A chiropractic doctor will evaluate the patient's medical history, ask about past exercise and movement that, in some cases, may point to a fracture or pathology. Chiropractic care will correct the subluxations and biomechanical faults of the pelvis and seek the right course of treatment to prevent and treat hip conditions.

Natural Cure For Arthritis - Prevention Is Still The Best Option


Arthritis literally means inflammation of the joints. Annually, millions of Americans are affected by this malady especially those in their fifties. But recent surveys revealed that some persons in their twenties already have arthritis. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.

Osteoarthritis is a degenerative joint disease which is a result of erosion and destruction of the cartilage. The cartilage is a tissue that absorbs shocks to the joints caused by injuries, wear and tear, stress, improper nutrition, genetics, metabolic and endocrine factors. Usual symptoms are pain aggravated by movement, stiffness and in worsening cases, sufferers start to have limitations of movement that may lead to disability.

Rheumatoid arthritis is a systemic autoimmune disease: it means that the person's immune system attacks certain tissues in the body particularly the joints and the synovium. Symptoms are red, stiff painful joints and in some cases fever, weight loss and anemia. The triggers are usually infections or injuries.

Arthritis is usually treated with non-steroidal anti-inflammatory drugs and the more recent Celecoxibs. Use of these drugs should be minimized because of some controversies involving these drugs and their many side effects, hence more and more patients seek alternative and natural cure.

Proper Diet and Exercise

Most helpful are low impact exercises like walking, swimming and stretching - you can also ask your physical therapist or physician to make a program of exercise designed for your type of arthritis. Healthy diet is important, so try to eat a balanced diet, take lots of vegetables, fruits, fish high in Omega-3 fatty acids and Vitamins C, E and folic acid. Avoid cigarettes, alcohol, coffee and tea.

Ultrasound Heat Therapy

This uses an ultrasound machine that produces high energy sound waves directed to the affected joints and muscles. It relieves pain and its effect is medium to short term.

TENS (Transcutaneous Electrical Nerve Stimulation)

This is a portable battery operated device that works by sending electrical currents to affected parts of the body. Electrodes are attached to the affected surface and are set in desired duration and intensity of stimulation. Many claim a significant reduction of symptoms and improvement of general well being.

PST (Pulsed Signal Therapy)

When joint tissues are stressed, this creates an electrical signal that causes the body to repair itself. PST works this way - it produces electromagnetic electrical signals at repeated and specific intervals that will in turn activate the body to repair or regenerate. This is usually done at a frequency of nine one-hour sessions.

Diathermy

Diathermy uses electromagnetic heat which is applied to the injured tissues and muscles. Temperature is raised by a high frequency current. It is believed that heat speeds up healing process by increasing blood flow to the injury. Precautions are necessary - for example, it should not be used on wet areas or those with metal objects to avoid risk of burn injury.

Intake of Glucosamine and Chondroitin Sulfate

These substances are called amino sugars which give elasticity to the cartilage. The recommended amount is 1500mg of glucosamine and 1200 mg of chondroitin sulfate per day for at least 6 to 8 weeks to achieve benefits. Precautions are given to children, pregnant women, diabetics, those taking blood thinners and those with allergies.

An Ounce of Prevention is Better than a Pound of Cure

Of course, nothing beats preventive measures to avoid developing crippling Arthritis. One of the most important is to lose weight if you are overweight because extra weight will put more stress to your joints. Intake of antioxidants like Vitamins C and E is recommended because they attack free radicals. There are also studies on the importance of oily fish like salmon, tuna and swordfish.

Regular exercise helps strengthen and make the muscles and joints more flexible to protect them from wear and tear. Simple practical measures include good posture, usage of big joints when lifting and carrying, use of supportive and comfortable shoes, use of protective gears for those in injury prone sports. Minimize job-related induced arthritis like improperly positioned tables and computers.

To de-stress is also a key factor if you are looking for a natural cure for arthritis, as evidence suggests that stress plays an important role in its development, so go on vacation, do some Yoga, Pilates or Tai Chi - and lastly, always have a regular check up with your physician.

What Can I Do About Tinnitus, The Non-Stop Ringing In My Ears?


Tinnitus is a common problem, which affects 50 million Americans, according to the American Tinnitus Association (ATA). For one third of those who suffer from tinnitus, the problem is "significantly annoying", for 1 percent of tinnitus sufferers this condition is debilitating and it interferes with sleep and their ability to lead a normal life. The "ringing in the ears" is described as static, screeching, ringing, hissing, crickets, whooshing, roaring, pulsing, ocean waves, buzzing, or dial tones, as stated by By Janice Howard, MA, CCC-A, member of the Tinnitus Practitioner's Association, in her article Tinnitus Treatment Saves a Marriage. Some people report hearing music and even voices. Hearing voices falls in the auditory hallucination realm, while hearing music is somewhere in between tinnitus and auditory hallucinations and is beyond the scope of this article.

Many tinnitus sufferers believe they have a terrible disease which is causing the ringing in their ears. When they seek medical help and their medical providers tell them they can't find anything wrong and to "learn to live with it", despair and isolation increases, which in turn might make tinnitus worse. Tinnitus is not a disease, it's a symptom. Several medical conditions may cause tinnitus, therefore it is important to have a complete medical evaluation if you experience tinnitus, which should begin with a visit to an audiologist, preferably one familiar with tinnitus. The audiologist can then make a referral to an otolaryngologist (ENT) or family practice physician if needed. Once you've been medically cleared, that is, if your doctor can't find any medical reason for the tinnitus, you should seek the help of a professional who specializes in tinnitus management. Good places to start are the Tinnitus Practitioner's Association and the American Tinnitus Association.

Some conditions that may cause tinnitus are:

Presbycusis (age-related hearing loss)

Noise exposure with or without hearing loss

Earwax

Otosclerosis (arthritis of the middle ear bones)

Stress and depression

TMJ disorders (problems with the temporomandibular joint)

Head or neck injuries

Tumors

Blood vessel disorders

Atherosclerosis

High blood pressure

Some medications

However, for many people the cause of ringing in the ears is not known.

People react differently to tinnitus. Some find it a little annoying and others find it debilitating. Unlike what most people think, the actual "volume" of the ringing is not very different between the groups, that is, it's not that tinnitus is softer in those who feel mildly annoyed, rather, it's the person's reaction to the noise that makes it either annoying or unbearable. There are several treatments that can help people cope with their tinnitus, including:

Counseling

Hearing aids

Medications

Psychological therapy

Sound therapy

It is important to know that as of this writing there is no cure for tinnitus, however, this doesn't mean there is no help for dealing with it. Many tinnitus sufferers have gotten their lives back by seeking help.

I will explore the "why" and "how" tinnitus therapy works on my next article.

Presently Exposed! 5 Sure-Fire Hints On The Way To Maintain Your Nagging Arthritis Joint Swelling


Arthritis Remedies - The numbers can certainly rattle you down to your bones if you let them. Millions upon millions of North American adults are afflicted with osteoarthritis and rheumatoid arthritis, and that's not including people around the globe in other nations. The fact is, rheumatoid arthritis tops the list as one of the most widespread chronic conditions in the states and most other developed nations.

The statistics are considerably worse considering that joint disease pain and other arthritis signs and symptoms are so tough to live with in many occasions. arthritis signs can normally include devastating agony in your joints along with your bone fragments. It can lead to the inability to move some specific limbs, or perhaps drastic hardness in others.

Joint disease ache could possibly steal your ability to feed yourself with utensils, to be able to pick-up your grand kids, or even leave your bed every morning. Other rheumatoid arthritis conditions may include inflammation, burning sensations in your joints, aches and pains in indiscriminate elements of the entire body, and redness.

Arthritis is truly a category of lots of diverse dysfunctions. And then to source the most appropriate arthritis pain relief and remedy for you, you must understand your particular form of arthritis. The two very important types of arthritis are arthritis rheumatoid and osteoarthritis (OA). Another highlight is gout, and a few often contemplate fibromyalgia a form of arthritis.

Every type has its own arthritis treatment solution. For osteoarthritis, sometimes known as degenerative joint disease, here is an example: to get joint disease pain remedies various health specialists tend to recommend alternative homeopathic solutions, or even your standard health supplement medical treatments like vitamin C, vitamin D, along with calcium supplement.

The very best sure-fire arthritis treatment recommendations involve a little of such therapies, along with some physical things you can do to easier guard your joints.

1. Often be gentle towards your joint capsules. Osteoarthritis (OA) starts as abnormal corrosion inside your joints. Hence one of the best ways to reduce the risk of this is by averting repetitive workouts, which unfortunately could include swinging a tennis racket, golf club, picking up packages at work, and other activities you do similarly time and time again.

2. Trim off fat. Another way to be the kindest to your joint capsules is to lose the load they have to carry. Quite simply, lose weight. Talk to your physician about exactly what a sensible body weight is for you if you're plump.

3. Eat right. Several consultants believe that calcium-filled dairy meals, and vitamin packed veggies and fruits, can go quite a distance as a possible arthritis cure and prevention strategy.

4. Know much more about your prescribed drugs. NSAIDs work well against some kinds of arthritis pain, unfortunately they also come with concerns. Recall Vioxx? Acetaminophen, the drug in Tylenol, performs very well, too, nonetheless it can also produce kidney and liver organ problems in substantial doses. So don't take these medicines without your physician's professional guidance.

5. Become familiar with your herbal treatments as well. Chondroitin and glucosamine have finally been recognized as beneficial remedies for arthritis soreness. Nonetheless talk with your health practitioner prior to taking them.

There is absolutely no guarantee that any of these types of arthritis treatment options will let you not end up part of that daunting arthritis statistic, however the beauty is, irrespective of how much they appeal to your arthritis agony, they will without a doubt benefit your entire wellbeing. So it is a win-win scenario does not matter how you look at it.

Radiofrequency Neurotomy (Ablation) for the Sacroiliac Joint


As individuals age, arthritis ensues and weight bearing mobile joints may experience significant pain. There are sacroiliac joints on both sides of the body. They are joints with cartilage and some movement does occur in the joints. It is not nearly as much movement as a ball and socket joint like the hip, but enough to cause daily pain for individuals. Radiofrequency ablation may help for an extended duration in the SI joints and be an excellent nonoperative treatment.

The unfortunate things about sacroiliac joint pain are that

1) it is a very common problem to have

2) It can be tough to diagnose the SI joint as a pain generator

3) It is a tough problem to treat either non-operatively or operatively

Similar to the facet joints in the lumbar spine, it can be difficult for a pain doctor to accurately place a needle into the joint. A significant angle may be necessary to achieve placement, and it should always be performed under x-ray guidance. Having a sacroiliac joint injection performed without it entails a high miss rate, upwards of 50%.

The objective with a radiofrequency ablation, also called a radiofrequency neurotomy, is to heat up and "deaden" the small nerve endings supplying the sacroiliac joint causing a patient's pain. These are not nerves that supply vital motor or sensory functions, but tiny little nerve endings that bring sensation to the joint itself. If those can be negated, pain can be decreased.

Prior to it being performed, the pain doctor will perform a diagnostic injection containing numbing medicine around these nerve endings to make sure the patient will obtain pain relief and the joint is the source of the pain.

If it works, then the radiofrequency procedure is indicated and the patient's insurance company usually approves the procedure. The procedure has been shown on average to alleviate pain from six to 18 months, which is more than double the average of a standard cortisone injection.

A radiofrequency ablation is an outpatient procedure. Patients who are on blood thinning medications like Coumadin will need to stop this for at least 5 days or so prior - the physician can give specific time frames.

The procedure usually lasts 30 to 45 minutes and the patient will be sore for days afterwards. In fact, the patient may get worse for a few weeks as the initial trauma from the procedure wears off and the benefits "kick in".

At a certain point after the procedure, the nerve endings will grow back and regenerate. This may bring back the pain from before, it may not. If this happens, the procedure may be repeated.

Potential complications of a radiofrequency neurotomy include pain around the injection site, numbness of the skin over the injection site, initially worsened pain due to muscle spasms, infections (rare), or in a small amount of cases worsened pain from the procedure (unusual).

Tuesday, June 18, 2013

Treatment of Degenerative Knee Pain - The Monster That Cripples You - Get Support


Most Effective Ways To Treat Degenerative Knee Pain

Degenerative knee pain is a condition that affects millions of Americans every year and can result in progressive, severe deformity of the joint. While there are several different ways to manage this condition, they will not necessarily result in a cure.

Although degenerative knee disease is not curable, it is not life threatening either. There are plenty of people who have this condition and who go about their lives normally just using a knee brace to support the knee and taking an occasional pain killer to manage the pain.

What are the Treatment Options Available?

Some of the most effective treatments for degenerative knee pain include:

1.) Ice pack
2.) Over the counter pain pills
3.) Exercises
4.) Anti-inflammatory medication
5.) Cortisone shots
6.) Knee replacement surgery
7.) Knee brace

All of these treatment methods except cortisone shots and knee replacement surgery can be self administered by the sufferer. So what should you opt for? Should you bite the bullet and go in for knee replacement surgery right away or should you first try out the other options?

In order to determine which is the right treatment for you, it is important to first assess the frequency of the joint flare ups and the severity of the knee pain. You will also need to take into consideration your age as well as how the condition impacts your daily life.

Conservative Treatment Options for Degenerative Knee Pain

Conservative treatment options, which offer you a safe way to manage the pain and swelling, should be your first line of defense if you have degenerative knee pain. This means you should consider ice packs to control the flare ups and over the counter pain pills to manage the pain (Speak with your physician about taking any drugs). Wearing a knee brace which can provide you with meaningful support that can reduce your pain and will help to allow you to walk around and get on with your daily activities.

Your instinctive reaction may be to try and move your knees as little as possible in order to avoid aggravating the condition. However, this could render the knee even stiffer than before. Many doctors will advise some sort of exercise for the knee to prevent it from getting stiff.

Cortisone shots or injections can also help with the pain but only on a temporary basis. These injections must be administered by a health care practitioner.

Knee Replacement Surgery for Degenerative Knee Pain

Though frequently recommended, knee replacement surgery does not offer any guarantee that the knee will be as good as new. Considering the pain, the post-op inconvenience and the mounting expenses of the surgery and rehabilitation, it is a high risk to take. Moreover, the duration of rehabilitation is indefinite, and the temporary lay off from work could just add another blow to your finances.

A very small percentage of people would actually consider full knee replacement surgery as their first choice. Most people who suffer from this condition will treat their degenerative knee pain with medication and a knee brace, which will enable them to remain active and relatively pain free without having to undergo the trauma of surgery.

If you believe that you can benefit from pain reduction and increased knee stability, then you should seriously consider a knee brace today. These supports can be obtained very quickly and are also very affordable, especially when you compare it to the costs that of surgery.

Do You Have Degenerative Arthritis?


With 10 million or more people with arthritis, the majority of them will have degenerative arthritis. This arthritis is called Osteoarthritis. Degenerative arthritis occurs when joints are overworked, rub against each other, experience excess friction, and slowly degenerate.

Most joints rub against each other, but bone joints have a protective layer called cartilage. This cartilage has no blood vessels or nerves so it cannot receive nutrients directly. This cartilage serves as a cushion or pad between bones so that bones don't wear out and so you don't feel pain.

Cartilage should not wear out if its surfaces remain lubricated with oils that you eat. But if you are not eating the right oils or the proper amount, then your cartilage can become dry. Under these conditions you will slowly deteriorate the cartilage, which will lead to degenerative arthritis.

Once your cartilage becomes damage or grinded down, it is hard to regenerate it. Cartilage is not a living tissue and does not receive its nourishment directly from blood vessels. It is made up of mucin, albumin and sulfuric acid. It absorbs oils and nutrients by osmosis.

Osmosis is the movement of oil from an area of high oil concentration, passing through a membrane, into an area of low oil concentration. So, if the cartilage is deficient in oil and you don't eat the oil it needs to minimize cartilage-to-cartilage friction, then degenerative arthritis will occur over time.

Eating oil that is high in vitamin D and iodine is what is necessary for good cartilage strength and function. Oil such as cod liver oil is ideal as lubrication for cartilage function. Fish oil is another good oil to eat. When you eat cod liver oil, this oil passes through the joint lining into the joint cavity. Once in the cavity, this oil is absorbed into the cartilage through osmosis.

Once the cartilage is properly lubricated, it has an elasticity and lubrication so that when it rubs against other cartilage little friction and cartilage degeneration occurs.

There is another process that can affect the integrity of the cartilage. Calcium can deposit on the bone near the cartilage and break into the cartilage and wear it down.

To prevent this condition, calcium must be kept in solution in the lymph liquid. This is done by maintain a balance diet.

Degenerative arthritis is a process where the cartilage at the end of bones in joint structures slowly degrades. This degradation occurs from the lack of the right oil in the diet and through calcium build up in the bone joint. Joint degeneration starts to occur after the age of 20 and can continue if the right diet if not followed.

Eating the right food to prevent degenerative arthritis is difficult to do if you have been brought up eating the wrong kind of food. But as an adult, you can now make a choice as to whether you will have Osteoarthritis when you get older by continuing to eat the wrong kinds food.