Tag: osteoarthritis

MASSASGE THERAPY VS. CHIROPRACTICTIC THERAPY

If you are anything like me, you probably prefer staying away from providers of conventional Western medicine as much as possible and I cannot say that I blame you. Although I have full medical coverage for that you never know when you might need it time of my life, I have not seen any of my Blue Cross doctors in well over ten years, and I hope to continue not seeing them for the rest of my life. Please do not miss understand me and think that I am some sort of superhuman creature who never gets ill. I do have my weak moments of pain and sniffles just like everyone else, or at least everyone else who takes good care of him or herself. So, when my body seems to need a boost, I visit one of my two favorite practitioners of alternative medicine; my massage therapist or my chiropractor.

I know that it all sounds very simple and straight forward but it is, in fact, somewhat challenging at times, because I do not always know which one of these wonderful professional to seek out. So, I often first opt to visit my chiropractor for a good therapeutic session of adjusting and aligning my skeletal structure and then, as an extra bonus to me and my one and only body, I also make an appointment with my massage therapist for some hefty digging and rubbing. Between the two of them, I come out feeling like a million bucks although my finances are sadly depleted. I figure that we, my body and I, are worth it.

Now, you might ask and rightfully so, What is the difference between a massage therapy and chiropractic therapy? Well, I will be happy to tell you:

* Chiropractic Therapy.
– For the most part, chiropractic therapy focuses on the hard tissues such as the spine and other joints for adjusting and realignment. Chiropractors have some training in massage techniques but that is never their first and foremost priority.
– Chiropractors are authorized to make medical diagnosis, order x-rays or blood works.
– Chiropractors cannot prescribe conventional medications but they can sell supplements or homeopathic remedies.
– Chiropractors do not need medical referrals to perform their work.

* Massage Therapy.
– Massage therapists perform wonderful work on the soft body tissues such as the muscles, tendons and ligaments but they have not been trained nor are they licensed to adjust the spine or any other joints.
– Massage therapists may not legally make medical diagnosis, order x-rays or any blood work.
– Massage therapists are not permitted to dispense medications of Western medicine but they can and do provide or recommend alternative herbal remedies.
– Massage Therapists do not required referrals from anyone to conduct their massage sessions.

A highly acclaimed national non-profit magazine recently conducted a study in which more than 34,000 participants in the United States were asked to rate which alternative treatments worked best for their two biggest health problems for the past two years and the overwhelming majority voted just as I would have; for deep tissue massage therapy and chiropractic therapy in equal measures for such conditions as back pain, osteoarthritis, rheumatoid arthritis, fibromyalgia, respiratory problems, high blood pressure, high cholesterol, depression, insomnia and prostate problems.

Of course, as far as alternative medicine is concerned, one should not discount acupuncture and reflexology for they too are beneficial in their own very special ways.

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THE DEEP TISSUE MASSAGE

The deep tissue massage is a kind of massage therapy which centers its attention primarily on the ailing, the sore, the painful and the distressed deeper layers of muscles and connective tissues. Its therapeutic benefits are particularly beneficial for chronically tight and constricted areas such as in cases of stiff necks, tightness of lower backs and aching shoulders. The strokes of the Deep Tissue massage are not very different from those of any other types of massage therapies but they are slower and with more pressure applied to reach deeper while focusing on troubled areas.

The Deep Tissue massage is so important in certain painful contractions and spasms due to stress, strain or injury because that is the only way to get to the root of the problem as it is embedded deep under the surface where adhesions which are the causes of the pain and rigidity in muscles, tendons and ligaments are found. Left to their own wills, adhesions obstruct circulation in the affected areas to limit the blood flow which leads to the pain, the restricted movement and, ultimately, to the inflammation. By applying firm pressure and direct friction across the grain and fabric of the muscles, the Deep Tissue massage aims to break down those troublesome adhesions to restore proper blood circulation, reinstate full movement and heal the inflamed tissues. The therapists performing the Deep Tissue massage may use fingertips, knuckles, hands, elbows and forearms during the therapy session and alternate them during the various stages. Clients are frequently asked to take in deep breaths as the therapists dig deeply into a particularly tense area.

Because the Deep Tissue massage is somewhat intense, it should not be applied under the following conditions:

* Infectious skin disease, rashes, bruises, inflamed skin, tumors or open and unhealed wounds.
* Immediately or soon after surgery or recent fractures.
* Immediately or soon after chemotherapy or radiation treatments, unless approved by the clients physician.
* Osteoporosis patients, unless approved by the treating doctor.
* Clients who are prone to blood clots.
* Heart disease patients, unless recommended by their cardiologists.
* Pregnant women should get their massage treatments from professionals who are certified in pregnancy massage.
* Abdominal hernia.

The good news is that Deep Tissue massage really works and it usually works very fast. Often, clients will walk into a session with excruciating pain and walk out a couple of hours later with smiles of relief on their faces. The bad news is that, depending on their tolerance level to pain, most clients experience it to one degree or another at certain point during the session. In addition, there is usually some measure of soreness immediately after the treatment which can last up to an entire day. However, the pain of the Deep Tissue massage therapy and the lingering soreness afterwards is nothing compared to the pain before the treatment and it comes with the knowledge that it will all be over very shortly. The massage therapist may suggest applying an icepack to the sore area but it is rarely severe enough to warrant it.

When most massage therapies are aimed at relaxation of the body and mind and the massage is generally applied to the entire body, the Deep Tissue massage sets its sights on precise problematic areas such as those afflicted with:

* Chronic or acute pains
* Diminished mobility or limited range of motion.
* Healing areas after traumas or injuries caused by falls, sports injuries, whiplashes from car accidents and so on.
* Strains from repetitive motion such as the carpal tunnel syndrome.
* Pains due to incorrect posturing of the body.
* Pains from osteoarthritis. According to a study conducted and reported by the Consumer Reports magazine, over 34,000 people classified Deep Tissue massage therapy as being more effective in alleviating osteoarthritis pain than physical therapy, exercise, prescribed or over-the-counter drugs, glucosamine, diets, acupuncture or chiropractic treatments.
* Fibromyalgia. Statistics have shown that Deep Tissue massage is more successful in easing symptoms of Fibromyalgia than any other available curative remedy.
* Muscle tension, contractions or spasms.

To flush out metabolic waste from the massaged tissues, clients should drink plenty of water after the Deep Tissue massage therapy and enjoy the fact that they are as good as new again.

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YOGA AND ARTHRITIS: A REVIEW

YOGA AND ARTHRITIS: A REVIEW
Dr. Manoj Dash, BHMS, DYT,Ph.D.

Yoga is an ancient Indian science and way of life, which influences the functioning of the brain and the rest of the body. Several studies have shown that the practice of yoga has a definite role in the promotion of positive health, including mental health, characterized by improved cardio-respiratory efficiency, autonomic responses to stressors, sleep, muscular endurance, and `higher brain functions. With an increase in the incidence of stress-related ailments, related to the rapid pace of life today, yoga has been evaluated as a treatment for such disorders in several controlled trials. The disorders, which were most likely to respond to yoga, with reduced symptoms and need for medication, were bronchial asthma, non-insulin dependent diabetes mellitus, anxiety neurosis, and rheumatoid arthritis. THE CONCEPT OF HEALTH According to the World Health Organization (WHO) the state of health is defined as a state of complete physical, mental, social and spiritual well being and not merely an absence of disease or infirmity. It is clear from this definition that health and ill-health are not two discrete entities as commonly understood but health should be conceived as a continuous function indicating the state of well being.The ancient Indian science, Yoga, has its origin in the Sankhya philosophy of Indian culture, which is about 8000 years old (Nagarathna, 2001). Yoga includes a wide range of techniques (e.g., physical postures, regulated breathing, cleansing techniques, meditation, philosophical principles, and devotional sessions, surrendering to the Supreme). These techniques bring about a calm and balanced state of mind, and are expected to help the spiritual evolution of the individual. However, yoga has more pragmatic applications in medicine. In order to understand these, it is important to know the concepts of health and disease in Yoga texts. According to yoga, man is in perfect health and homeostasis at his subtle levels of existence. All diseases are classified as (i) stress-related (adhija) and (ii) not stress related, e.g., injuries (anadhija) (Vasudeva, 1937). Yoga has been considered especially useful in the management of stress related disorders by getting mastery over the excessive speed of the mind. The technique to reducing the rate of flow of thoughts with deep internal awareness is yoga. This review will describe the therapeutic applications of yoga in the management of arthritis. Physical activity is an essential part of the effective treatment of osteoarthritis (OA) and rheumatoid arthritis (RA), according to treatment guidelines published by the American College of Rheumatology (Hochberg, 1995; Newsome, 2002). In persons with arthritis, exercise is safe and does not exacerbate pain or worsen disease (Ettinger,1997; Minor,1999; O’Grady,2000;Bearne,2002). In fact, exercise may play a key role in promoting joint health (Forrest,1994) , since those who do not exercise often suffer more joint discomfort than those who do (Nordemar,1981). However, regular physical activity is especially important for people with arthritis, who often have decreased muscle strength, physical energy, and endurance (Lyngberg,1988). The psychological benefits of exercise such as stress reduction, fewer depressive symptoms, improved coping and well-being and enhanced immune functioning (Taylor,1985;Scully,1998;Fox,1999 Paluska,2000) also contribute to greater overall health.Scientific studies on yoga Yoga has been used in the management of a wide range of diverse ailments. While there is a great deal of anecdotal evidence of the benefits of yoga, to date only a handful of scientific studies have been conducted on persons with OA and RA (though several more are currently underway). The study conducted in England demonstrated that hand grip strength significantly improved following yoga in rheumatoid arthritis patients (Haslock,1994). It was subsequently proven that yoga resulted in similar benefits in rheumatoid arthritis patients in an Indian population (Dash, 2001). Studies in osteoarthritis of the hands and carpal tunnel syndrome show greater improvement in pain during activity, tenderness and finger range of motion (Garfinkel, 1994). These above studies have shown promising results with some improvement in joint health, physical functioning, and mental/emotional well-being. Perhaps most importantly, yoga has an important positive effect on quality of life. People with arthritis may also enjoy yoga more than traditional forms of exercise, and exercise enjoyment is an important predictor of adherence(Ryan,1997;Trost,2003).This is particularly important considering that, on average, 50% of sedentary individuals will drop out of exercise within 6 months (Dishman,1990).In summary, yoga can be a meaningful and enjoyable alternative to traditional forms of exercise such as aerobics or aquatic exercise with important health benefits. Yoga can play an important role in reducing stress and frustration that results from pain and disability, and increasing positive feelings and wellbeing. Drug treatments for OA and RA have improved markedly in the last few years. Despite this, arthritis cannot be cured, and even the best medications and medical care can only help a little. There is a great need for additional activities patients can do to reduce pain, disability, and take control of the overall impact arthritis may have on their lives. Thus, the evidence suggests that, when combined with a program of good medical care, yoga may provide important additional physical and psychological health benefits for arthritis patients. Finally, it has to be emphasized that while yoga has important therapeutic benefits, the practice of yoga is very important in the promotion of positive health and human potential in body, mind, and spirit (Scott, 1999).References:1.Nagarathna R. Yoga in medicine. API Text book of medicine (6th ed), 2001. 2.Vasudeva Sharma PL. Laghu yoga vasistha (in Sanskriit); Nirnaya sagar prakashan, Bombay 1937,P 684.3.Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR et al. Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee.American College of Rheumatology. Arthritis Rheum 1995; 38(11):1541-1546.4.Newsome G. Guidelines for the management of rheumatoid arthritis: 2002 update. J Am Acad Nurse Pract 2002; 14(10):432-437.5.Minor MA. Exercise in the treatment of osteoarthritis. Rheum Dis Clin North Am 1999; 25(2):397-415, viii.6.Bearne LM, Scott DL, Hurley MV. Exercise can reverse quadriceps sensorimotor dysfunction that is associated with rheumatoid arthritis without exacerbating disease activity. Rheumatology (Oxford) 2002; 41(2):157-166.7.O’Grady M, Fletcher J, Ortiz S. Therapeutic and physical fitness exercise prescription for older adults with joint disease: an evidence-based approach. Rheum Dis Clin North Am 2000; 26(3):617-646.8.Ettinger WH, Jr., Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA 1997; 277(1):25-31.9.Forrest G, Rynes RI. Exercise for rheumatoid arthritis. Contemp Intern Med 1994; 6(11):23-28.10.Nordemar R, Ekblom B. [Effects of long-term physical therapy in rheumatoid arthritis]. Lakartidningen 1981; 78(15):1561-1564.11.Lyngberg K, Danneskiold-Samsoe B, Halskov O. The effect of physical training on patients with rheumatoid arthritis: changes in disease activity, muscle strength and aerobic capacity. A clinically controlled minimized cross-over study. Clin Exp Rheumatol 1988; 6(3):253-260.12.Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med 2000; 29(3):167-180.13.Fox KR. The influence of physical activity on mental well-being. Public Health Nutr 1999; 2(3A):411-418.14.Scully D, Kremer J, Meade MM, Graham R, Dudgeon K. Physical exercise and psychological well being: a critical review. Br J Sports Med 1998; 32(2):111-120.15.Taylor CB, Sallis JF, Needle R. The relation of physical activity and exercise to mental health. Public Health Rep 1985; 100(2):195-202.16.Haslock I, Monro R, Nagarathna R, Nagendra HR, Raghuram NV. Measuring the effects of yoga in rheumatoid arthritis. Br J Rheumatol 1994; 33(8):787-788.17.Dash M, Telles S. Improvement in hand grip strength in normal volunteers and rheumatoid arthritis patients following yoga training. Indian J Physiol Pharmacol 2001; 45(3):355-360.18.Garfinkel MS, Schumacher HR, Jr., Husain A, Levy M, Reshetar RA. Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. J Rheumatol 1994; 21(12):2341-2343.19.OConnor D, Marshall S, & Massy-Westropp N. Non-surgical treatment (other than steroid injection) for carpel tunnel syndrome. Cochrane Database Syst Rev. 2003; (1): CD003219.20.Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M. Evaluating a model of parental influence on youth physical activity. Am J Prev Med 2003; 25(4):277-282.21.Ryan RM, Frederick CM, Lepes D, Rubio N, Sheldon KM. Intrinsic motivation and exercise adherence. International Journal of Sports Psychology 1997; 28(4):335-354.22.Dishman R. Determinants of participation in physical activity. In: Bouchard C, Shepard R, Stephens T, Sutton J, McPherson B, editors. Exercise, Fitness, and Health. Champaign : Human Kinetics, 1990: 75-102.23.Scott AH. Wellness works: community service health promotion groups led by occupational therapy students. Am J Occup Ther. 1999; 53(6): 566-74. About the Author
I am a Doctor, doing my Ph.D.in Yoga. My topic of interest is to conduct Yoga Retreat, take class for Yoga Teacher and Medical professionals for in depth Research findings, and also Interest to conduct research in various field of yoga, both experimental and theoretical. I have been Traveling to all EUROPIAN countries.My contact: [email protected] web page:http://www.geocities.com/manojrieneke/Research.html

What You Should Know About Arthritis

What You Should Know About Arthritis
Robert Thatcher

Should the person experience some muscle pain which lasts more than 2 or 3 days, there is a strong chance that one has arthritis.
Arthritis is a common disease that affects millions of people worldwide. This can be felt in the persons joints, skin and organs inside the body. Should the person feel anything wrong, it is advisable to go straight to the doctor.
Doctors have discovered that there are over 100 types of arthritis. Given the number, the doctor will not be able to know which one is affecting the person without an examination.
There are 2 common forms of arthritis. The first is rheumatoid arthritis which is considered a chronic disease. There is inflammation in the joints caused by cartilage damage. Anyone who has this will suffer long term joint damage that will lead to chronic pain and disability. Pain is usually felt when waking up in the morning and will gradually disappear during the day.
Rheumatoid arthritis is a problem that will not go away. This happens in three stages. The first is swelling. The second is the rapid division and growth of cells. The third is when these cells release enzymes that will eat the bone causing the joint to lose shape until the person will not be able to move it anymore.
Since this is systemic disease, it can spread and affect other organs in the body. The best way to prevent is from happening is detecting it early to prevent the person from being disabled.
This can be treated with proper medication and therapy. There many drugs available that the patient can use. Some drugs offer pain relief to reduce the inflammation. Others can just do one function.
The second is called osteoarthritis. This happens more often than rheumatoid arthritis but unlike the first, there is no inflammation present. The cartilage in the joint is damaged and will eventually degenerate. Pain will slightly be felt when the person gets up but this will hurt later on during the day.
Osteoarthritis can either be primary or secondary. When it is primary, it is often associated with age. It is similar to a car where the parts have to be replaced due to wear and tear. Doctors consider this to be normal as people grow older.
The secondary type is often associated with something else that has caused this to happen. Some of these factors are an injury that took place, heredity, obesity and bone density.
Osteoarthritis can be treated with medication, exercise, weight control, joint protection, physical and occupational therapy. This is done to relieve the pain and slow the progression of the disease.
Both of these are caused by different things. The common thing between these 2 types is that joint pain can happen anywhere in the body.
Given the many medications available to treat this disease, the patient has to be aware of the side effects of each before choosing which one to use. The doctor should explain these to the person in order to make the right decision.
Arthritis and its different forms will not go away. Since this is an insurable disease, the best thing that the doctor and others can do until a cure if found is to help the patient ease the pain the slow the growth of the disease.

About The Author

Robert Thatcher is a freelance publisher based in Cupertino, California. He publishes articles and reports in various ezines and provides arthritis resources on http://www.your-arthritis-resources.info.