Posts Tagged ‘pain’

Chronic leg Pain

Chronic leg pain can be a challenging condition for physicians to diagnose, since the symptoms may be produced in the affected area itself or in other regions which innervate the leg with nerve energy anywhere above the affected level.  Leg symptoms usually make patient think that they have injured their actual limb, but in many cases, the pain comes from some issue which is enacting pain in the sciatic nerve or even in one or more of the nerve roots in the spine.

 

Of course it is certainly possible to have leg pain due to actual injury to the leg structure itself.  People can damage their leg tissues in any number of ways, causing trauma to the skin, bones, muscles, tendons, ligaments or nerves anywhere in the area.  However, in these cases, diagnosis is usually easy, since the patients will likely know how and when the injury occurred.  In these cases, there is little room or need for speculation…

 

In most patients with idiopathic leg pain, there is no history or indication of injury or obvious trauma.  The leg appears fine, and may even function perfectly, although the patient will be complaining of agonizing symptoms including pain, and possible neurological issues like numbness, tingling, weakness or the perception of burning.  If x-rays return normal and there is no other indication of a fracture or possible injury to the leg itself, the diagnostician must go deeper into the anatomy to find the possible source of pain.

 

As long as the localized structures are sound, then the condition is almost always sourced in either nerve dysfunction or circulatory dysfunction.  Nerve concerns are far more commonly diagnosed and often relate to spinal sources in the lumbar or lumbosacral spine.  In these cases, the working diagnostic theory states that some structure is likely impinging upon one or more of the spinal nerve roots which eventually supply the leg with life energy.  The causation blamed for enacting this compression, commonly called “pinched nerves”, can vary greatly.  Some of the typical issues blamed for affecting spinal nerve roots include abnormal side to side spinal curvatures, such as scoliosis, abnormal front to back spinal curvatures, such as hypolordosis or hyperlordosis, advanced degenerative disc disease, herniated discs, a number of spinal osteoarthritic conditions and vertebral misalignment issues like spondylolisthesis, among others.  In a few cases, the possibility of the source of pain is eliminated from existing in the spinal structures and thought to come from another anatomical region, such as the sacroiliac joints or from the piriformis muscle impinging on the sciatica nerve itself.

 

Circulatory conditions, such as diabetes, can cause widespread or localized leg pain.  These conditions are usually able to be diagnosed using standardized tests and the neuropathy condition is typically treatable using specialized medications.  In many cases, the pain is not correctly attributed to its actual source, which is purposefully enacted regional ischemia.  This chronic condition is linked to the mindbody process, which is a sector of health almost completely neglected by today’s Cartesian obsessed medical sector.  However, some pioneers in the field, like the renowned Dr. John E. Sarno at NYU Medical Center/Rusk Institute of Rehabilitation Medicine, have shown just how effective alternative treatments can be for many type of leg pain.  In my own experience in dealing with tens of thousands of chronic pain sufferers each year, I find this oxygen deprivation syndrome to be both epidemic and incredibly successful at avoiding detection, since it flies in the face of the antiquated structurally-fixated philosophy embraced by virtually all traditional physicians.

 

I have a Pain in the ankle?

it’s really bad. I’ve had peroneal tendonitis for a year and a half, but friday i rolled it, and it’s still not feeling better. I’m not too worried about it, it’s just kind of scary because my entire leg is starting to hurt. All the way up to my knee, and it’s not just muscles, it’s everything. It doesn’t hurt to touch or manually (with my hands) move it, but if i try to wiggle my ankle it hurts and it hurts if i set it on something. What could be going on with it???

Relieve Summer Joint Pain

Have you ever thought about  associating knee pain and joint pain with how much water you drink on a hot summer day?  Dehydration can be the cause of many of the reasons we feel  really bad on a hot summer day, or any other day, for that matter.   The human body  is made up of 60-80% water.   If we just think about it, when we  deplete our body of large amounts of water-which is the basis of life- changes in the body will happen in order to counteract for the loss of the water in the body.   And one of these counter acting effects is that it can actually cause pain to be much worse, and chronic in some individuals,  than it would have ordinarily been if you had been drinking plenty of water.   

You should consume, on a daily basis, half your body weight in ounces of water.  This is a greater amount than we hear of every day, but if your body is losing water through sweating or other means, then greater amounts of water must be consumed to keep our body functioning properly.   Taking sea salt will help the body maintain the water in the body longer, as well.  One of the side effects of too little water and too little water in the body on a hot summer day is body cramps.  When this happens, our body is trying to tell us something.

Stretching and exercise are important to maintaining our overall health and well-being, especially our muscles and joints.   Stretching makes that particular part of the body more limber, brings more blood and oxygen to the area and can help reduce the amount of pain you feel.  Exercise strengthens the ligaments, tendons and tissues in and around the joints.   Having stronger, more active joints will greatly reduce the amount of joint injuries that you have.   You may not miss some of these pains, but that is because you minimized the risk and the injury never happened.

Another important thing we can do to reduce, knee pain and joint pain is to take a nutrient that will strengthen and lubricate the joints.   It  can keep it from happening and even totally eliminate the knee pain or joint pain after it occurs.   After the age of 30, research shows that we produce dramatically reduced amounts of collagen and HA.  This leads to rapid aging and deterioration,  loss of elasticity and moisture,  inflammation, and joint pain.  We need to provide valuable nutrition for our tissue and joint health every day.   Think of your joints this way:  You take your automobile to the auto shop to have the oil changed and the joints lubricated periodically so they will give you maintenance free service for many years to come.    Do you think more of your automobile than you do of yourself?

My name is Danny Hamil and I’d like to help you achieve lasting relief from joint pain. I am very passionate in helping others to be 100% Joint Pain Free without spending hours and hours in the doctor’s offices or a lot of money on prescription drugs.   Feel, act, and look younger today.  Click here to order your FREE REPORT at http://freefromjointpain.weebly.com  and take control of your joint pain today.  Do you really want to hurt with joint pain any longer when you can experience long lasting relief by visiting my website today?   

 

Find Foot Pain Relief By Visiting A Podiatrist

Nearly everyone has at some point experienced the discomfort and pain of aching feet. Generally, this is not a condition that requires treatment, and can easily be addressed by soaking the feet or simply resting them. When more serious conditions begin to be more than bothersome however, it is time to seek professional care in the way of a qualified specialist, namely a podiatrist.

A podiatrist is a physician who is licensed and specially trained in treating ailments and afflictions of the feet, ankles and lower portion of the legs. He or she can diagnose and treat these conditions and typically is qualified to perform surgery as well. When the patient has developed certain conditions that are not being relieved by home treatments and remedies, the practice of podiatry is there to help.

There are many ailments affecting the feet which can make life uncomfortable or even be debilitating if not properly treated. From minor ailments to major dysfunctions, the podiatrist is trained to recognize the cause and help find a cure. Most commonly seen are bunions and corns. These are typically minor problems, however if left untreated they can escalate into a more complicated issue, causing pain and inflammation.

Plantar warts of the feet is generally caused by a virus which enters through a break in the skin. If left untreated, the wart can harden and make it difficult to walk. A podiatrist can treat this and prescribe medications that will help to soften and eventually remove these warts. In less common instances, laser surgery to remove the wart might be indicated.

Podiatrists treat ingrown toenails that affects all age groups. Treatment of an infected nail is generally painless and easily rectified by the foot doctor. Fungal infections of the toenail is another common condition that podiatrists are seen for.

Inflammation of the ankle or heel is frequently diagnosed by a podiatrist as being tendinitis. This condition is often seen in runners or those who participate in sports which require standing or walking for long periods of time. The area of the foot that tendinitis generally affects is the Achilles tendon.

Another painful condition which brings patients to the podiatrist’s office is a heel spur. This is when an overgrowth of bony substance settles at the base of the heel bone, making it difficult to walk. A podiatrist can usually diagnose this through a simple x-ray. This can be treated by a cortisone injection, but typically the physician will prescribe an anti-inflammatory medication to treat this.

A common occurrence for children and adults alike, sometimes requiring a visit to the podiatrist, is a sprained ankle. While this injury can usually be treated at home without the need for a doctor, occasionally the sprain might result in torn ligaments. This will typically require further treatment, and the podiatrist can recommend a course of action, such as compression and ice, or painkillers if warranted.

Foot pain is nothing to be taken lightly, as it can interfere with daily activities and work duties. When discomfort or pain cannot be resolved by home treatment, a podiatrist can help. Finding a qualified specialist is as simple as contacting the American Podiatric Medical Association, asking for a reference from a primary care physician, or searching the internet.

Top 3 Causes of Joint Pain

If you suffer from joint pain or you want to avoid suffering from it, you need to understand what causes joint pain.

A joint is a place where two bones meet, connected by one or more ligaments. The ends of the bones are covered by cartilage, which allows the two bones to move easily. The joint is surrounded by a capsule that protects and supports it. The joint capsule is lined with a type of tissue called synovium, which produces synovial fluid, a clear substance that lubricates and nourishes the cartilage and bones inside the joint capsule.

Here are the top 3 causes of joint pain:

1. Arthritis – Arthritis literally means inflammation of one or more joints. Arthritis causes pain, stiffness and swelling in the joints. Arthritis is classified as one of the rheumatic diseases. These are conditions that are different individual illnesses, with differing features, complications and treatments. They are similar in that they have a tendency to affect the joints, muscles, ligaments, cartilage and tendons, and many have the potential to affect other internal parts of the body. There are more than 100 different types of arthritis. Together, the many types of arthritis make up the most common chronic illness in the United States. The causes of arthritis depend on the form of arthritis. Causes include injury, metabolic abnormalities (such as gout), hereditary factors, infections and unclear reasons. The two most common types of arthritis are osteoarthritis and rheumatoid arthritis.

2. Tendonitis – Tendonitis is inflammation of a tendon. A tendon is fibrous tissue that connects a muscle to a bone. Tendons transmit the pull of the muscle to the bone to cause movement. Tendons can be small, like those found in the hand, or large, like the Achilles tendon in the heel. Tendonitis is most often the result of a repetitive injury in the affected area. Tendonitis occurs more often with age because tendons become less flexible and more prone to injury with age. People who perform activities that require repetitive motions or place stress on joints are at higher risk for tendonitis.

3. Bursitis – Bursitis is inflammation of a bursa. A bursa (the plural form is bursae) is a small, fluid-filled sac that acts as a cushion between a bone and other moving parts such as muscles or tendons. Bursae are found throughout the body. Bursitis occurs when a bursa becomes inflamed from injury, infection or due to an underlying rheumatic condition. Bursitis is commonly caused by overuse or direct trauma to a joint and it often occurs in the knee, shoulder or elbow. People who perform activities that require repetitive motions or place stress on joints are at higher risk for bursitis.

Now that you understand what causes joint pain, you’ll be better able to treat it if you already suffer from it, and you’ll be better able to avoid it if you don’t already suffer from it.

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Pain Reduction Strategies For Tendonitis

Tendonitis is an irritation of a tendon, which is a thick cord like structure that attaches bone to muscle. Tendonitis is an injury that arises because of excessive use, and is frequently caused by continuous, minor impact on the affected area, or sometimes from an abrupt, more serious injury.

Once an individual is determined to have tendonitis, they begin to explore which avenues to take for smoother healing. The fundamental goal in tendonitis treatment and healing is to relieve pain and to reduce swelling.

Below are various suggestions for tendonitis prevention and treatment:

These strategies are recommended byhealth professionalsand physical therapists alike. Physical therapy can turn out to be very beneficial, especiallya programthat stretches and strengthens the muscles and tendons. This conditioning is essential, as it can restore the tendon’s ability to function properly, advance healing, and prevent future injury.

Physical therapists and body work specialistsinclude range-of-motion exercises, splinting, and in some cases, braces designed to support and protect the affected area. Body work specialists and physical therapists may also educate individuals about ergonomics, and incorrect posture at work, or inadequate stretching before exercising. Most all health and body work professionals believe that in order to aid healing you should carry out the following:

1. Rest and Protection

Tendonitis treatment methods must begin by eliminating altogether the aggravating motions and movement that caused the injury. This could mean resting from a favorite recreation for a period of time. Taking a break is an absolutely necessary step in order for the inflamed tendon to heal. Most people find this either impractical or inconvenient, especially if the injury is work related (professional athletes, gardeners, carpenters, etc) but tendonitis will not completely heal without this basic stage. Often a splint or brace will be recommended to help guard the area, which can act as important armor against re-injury.

2. Make use of An Ice Pack

Applying ice to the area of inflammation is an important aspect of tendonitis treatment. The ice controls the inflammation and decreases swelling. Once inflammation and swelling have decreased, the tendon is able to return to its normal state and carry out its normal functioning.

3. Consider Anti-Inflammatory Medications

Nonsteroidal anti-inflammatory medications (NSAIDs) are popular over the counter (OTC) medications such as Ibuprofen, Naprosyn, Motrin, Celebrex, and many others. Tendonitis can benefit from these medications because they reduce pain and swelling. There are also anti-inflammatory cremes one can put directly on the affected area. Don’t forget that it is always wiseto first discuss with a health professional any medications you decide to take.

4. Cortisone Injections

In many cases when the symptoms of tendonitis are persistent, an a cortisone shot may be considered. Cortisone is a powerful anti-inflammatory medication that is injected directly to the site of traumatic inflammation. Sometimes this is a more drastic alternative for situations that are not improved with relaxation, safeguarding, or icing. It is essential to be informed that not all types of tendonitis can be treated with cortisone injections. For example, Achilles tendonitis is very rarely injected with cortisone because of worries about probable rupture of the tendon.

5. Strengthening techniques and physical therapy

Appropriate strengthening approaches can help you avoid tendonitis by teaching you to use your muscles in a safe, more productive manner. Physical therapists and massage therapists have certain exercises that teachpeople ways to move their susceptible areas that won’t cause inflammation. Exercises should not begin until the person has recovered enough for the inflammation to be gone. A person who exercises prematurely will injure themselves further.

6. Take Breaks

Replace repetitive jobs with an intermission or a change in activity to relieve stress on the tendons. Any one activity that is continual for hours at a time should be interrupted with a break. Persons with exercise-related tendonitis should alter workouts to relieve any constant stress and motion of the same kind of exercise activity.

7. Safeguard the Tendon

Some people who have chronic tendonitis will find alleviation by protecting the affected area when undertaking certain activities. For example, a wrist brace can be worn while house painting or gardening, alleviating the repetitive strain on the tendon. Specially designed removable braces may be recommended, as well as an ace bandage or wrap.

8. R.I.C.E (Rest, Ice, Compression, Elevation)

Another valuable plan of action is the commonly known acronym used to minimize inflammation: RICE, which stands for rest, ice, compression, and elevation. The particular combination of this strategy, if implemented immediately, can be very effective in decreasing swelling andtherefore treating tendonitis.

Usually, the abovementioned treatments are sufficient tendonitis interventions for many to completely handle their symptoms. In exceptional cases, sometimes surgery is suggested, but only when there is no response tomultiple treatment approaches, and the individual believes it to be the only option. However, surgery has its side-effects, including scar tissue, more inflammation, pain, and the distinct possibility that the surgery will fail and possibly make your condition worse. Make it a point to have an in-depth discussion with a health professional you trust, before deciding if surgery is agood choice for you. be aware of the many risks, and do research, etc., to help youmake an informed decision about your body and your health.

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Sandra Klein, MD, on achilles tendon pain


***The information in this video is not a substitute for professional care, and must not be used for self-diagnosis or treatment. BJC HealthCare and Washington University School of Medicine assume no liability for the information contained below or for its use. ***Washington University Orthopedics Sports Medicine Specialists are the team physicians for the St. Louis Blues and St. Louis Rams. We also offer the following services: Foot and Ankle, Hand and Wrist, Joint Preservation, Resurfacing and Replacement, Musculoskeletal Oncology, Orthopedic Trauma, Pediatric Orthopedics, Physical Medicine and Rehabilitation, Shoulder & Elbow, Spine Surgery and Sports Medicine. To learn more about Washington University Orthopedics please visit our website: www.ortho.wustl.edu

Achilles pain that worsens with stretching?

I have occasional pain in my achilles tendons, sometimes but not always associated with running. I’ve read that many people suggest stretching. I’ve found that when I stretch, it makes the pain much worse. I am an overpronator. I ice them and that alleviates the pain somewhat not always. Any suggestions for other methods of treatment?


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