Tag: pain

Deciding Which Doctor to See

If you have more than one doctor, which many people do especially athletes then it is often confusing exactly which doctor you should see. However, if you follow some simple guidelines you should find the decision much easier. Remember, seeing a doctor is a good idea in the event of an injury, however emergencies are usually best treated in an emergency room with follow up through your normal doctor.

You should first consider why you want to go to the doctor. If you have a need rather than just simply a check up then consider exactly what is needed. If you need a simple work up or even a flu shot then seeing a standard family practitioner is usually much easier and faster. However, if you have a sports related injury then it is best to see a sports medicine doctor.

As part of your sports medicine team, you are likely to have numerous doctors all working together with a physical therapist, primary doctor and various other professionals including often a surgeon. Your first stop whenever seeing a sports medicine doctor should always be to your primary physician. After visiting with them, they can determine based off your needs exactly whom you should be referred to see next. This also often has the benefit of allowing some treatment options to get started in the meantime, rather than being forced to wait until the specialist can see you.

However, it is important to note that if you only see a sports medicine doctor and do not have a standard internal medicine or family physician that you should always see your sports medicine doctor unless they recommend you see someone else. With sports medicine doctors covering a large gamut of specialties it is possible to only use sports medicine doctors if preferred.

If you are running a fever, or else have a rash that has appeared, the best doctor to often see is your primary care physician. If however, you have been experiencing leg pain then it is best to see the sports medicine doctor. Anytime you have a problem or injury that has resulted because of sports, or can impact sports it is best to see a sports medicine doctor.

In the event that you have a pressing issue that needs immediate treatment, often the decision over which doctor to see becomes blurred. This is because many times doctors have very long waits before being able to secure an appointment. If you discover that this is your problem, you best bet is to check with both doctors and see who can fit you in sooner. If neither doctor is able to see you fast enough, you may be best to see the emergency room in your area and schedule a follow up visit. While not everyone is pleased with seeing an emergency room rather than their normal doctor it is a necessary action at times where there are serious complications or in the event of an emergency.

While emergencies may mandate the usage of the emergency room, appointments that are not emergencies should be scheduled with the appropriate doctor to ensure that you receive the best care possible. For example, if you are using a sports medicine doctor and also an internal medicine doctor you should schedule your normal yearly check ups with your internal medicine doctor, as well as your yearly flu shot. However, if you are looking into creating a new exercise program or even starting a new sport then a visit to your sports medicine doctor is most appropriate.

As the number of sports medicine doctors offering varying specialties continues to increase the decision over which doctor to choose for visits is likely to become even more confusing, however you are not alone and by carefully considering the purpose of the visit, you should be able to easily determine which doctor is the best choice for your individual needs.

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The American Academy of Medical Acupuncture

It is surprising to many people that a large and growing number of traditional physicians support the use of and practice of acupuncture techniques. The American Academy of Medical Acupuncture was organized by physicians who want to further the use of acupuncture in regular medical treatment. The Academy was founded nearly twenty years ago by a group of physicians trained in acupuncture, which graduated from courses sponsored by the UCLA School of Medicine.It used to be that acupuncture practitioners had vast knowledge of the traditional acupuncture techniques and philosophy, but little or no training in traditional western medicine. At the other end of the medical spectrum were physicians, who knew nothing about traditional Chinese medicine, and looked with some doubt on the claims of acupuncture treatment. However, a number of studies and experiments showed that acupuncture gave consistently good results in a number of areas, and so physicians started referring their patients for particular problems, such as persistent pain. After some time traditional physicians starting learning and using acupuncture techniques as part of their own methods of treatment. In addition to the techniques, they learned the long history behind the current acupuncture techniques.

The Academy (known as AAMA) is important to both physicians and patients, for members of the AAMA meet the highest standards for both traditional medicine and certified acupuncture practitioners. Most patients implicitly trust physicians, both for their extensive training and for their high standards of practice. They extend both of these to the practice of acupuncture within their offices.

One of the goals of the AAMA is to spread knowledge and appreciation of acupuncture to other physicians and health professionals that presently know little about its use. Most physicians in hospitals have heard of the possible use of acupuncture instead of anesthesia, but it is also becoming more accepted in other areas, such as minimizing pain and nausea for the patient once the operation is over and the patient is in the recovery room. Acupuncture also has some interesting uses possible in emergency room treatments.

The AAMA is also very dedicated to pursuing research and studies into new applications for acupuncture in both the hospital and physician office settings. It is especially interested in researchers to look into the fundamentals of why certain acupuncture techniques are as successful as they are. In other words, many doctors want a traditional medical explanation of the process that the acupuncture treatment starts. It seems that a simple insertion of a number of needles is a mystifying way to accomplish the results, and there is a good deal of research into how to exactly explain the mechanisms that occur. Doctors who do research into these areas may publish their results in a magazine called
Medical Acupuncture, the official journal of the American Academy of Medical Acupuncture. These magazine presents authoritative papers, case reports, and research findings that integrate concepts from traditional and modern forms of acupuncture with Western medical training. This publication covers the effectiveness and safety of acupuncture in pain relief, cancer, stroke, pulmonology, urology, OB/GYN, gastroenterology, and much more.

The existence of a large and growing numbers of qualified physicians that are also trained acupuncturists guarantees that the benefits of each discipline will continue to make current American health practice better for the patients.

Acid Reflux Disease Symptoms: Knowing your Body

Acid reflux disease is a condition in which the stomach acids abnormally reflux into the esophagus. This phenomenon is irregularly experienced by most people, most especially after eating.

Our body uses gastric and stomach acids to break down the food that we eat. Normally, after the digestion in the stomach, the food is delivered by the digestive muscles to the intestines for extra digestion. But in patients who have acid reflux disease, the acidic stomach contents are moved back to the esophagus, which then causes inflammation. Cigarettes, alcohol, caffeine, pregnancy, and fatty foods are some factors which worsens acid reflux conditions.

Our present knowledge about acid reflux based on medical researches tells us that this disease is common in men as it is in women. There is no sexual preference. Moreover, the prevalence of acid reflux is more frequent in people of 40 years of age or more.

Symptoms of acid reflux may be typical or atypical. But based on the diagnosis of acid reflux patients, only 70% of those who have this disease manifest typical symptoms.

Typical or esophageal symptoms concern indicators which are related with the esophagus. Such symptoms include the following:

Heartburn. This is a condition in which the patient feels a painful burning feeling in the esophagus. The pain often develops in the chest and may swell to the neck or throat. This is most probable to occur in relation with these activities: after a heavy meal, lifting, bending over, and lying down. Based on one study, about 75% of acid reflux patients experience this symptom at night. These nigh-time patients also tend to experience more harsh pain than those whose symptom occurs at other times.

Dyspepsia. Researches show that about half of acid reflux patients have dyspepsia. This is a syndrome which consists of pain and distress in the upper abdomen, nausea after a meal, and stomach fullness. It is not a rule however, that those who have dyspepsia have acid reflux.

Regurgitation. This is when the gastric contents back up into the pharynx and sometimes as far as the mouth. In cases where the acids have spilled into the tracheobronchial tree, respiratory complications can be stimulated.

There are many instances, though, that acid reflux patients do not manifest symptoms such as regurgitation and heartburn. Instead, they experience atypical or extraesophageal symptoms which include the following:

Throat Symptoms. Although it does not commonly happen, acid reflux patients suffer from symptoms that occur in the throat. Hoarseness, the feeling of having a lump in the throat, dry cough are undergone by those who have acid laryngitis, a throat symptom. Patients can also have difficulty in swallowing, a condition known as dysphagia. In critical cases, the food may get trapped in the throat or even choke, which can result to a severe chest pain. Other throat symptoms are chronic sore throat and persistent hiccups.

Vomiting and Nausea. When a patient suffers from nausea which persists for weeks, he may have acid reflux. There are few instances where vomiting can occur as often as once a day.

Respiratory Symptoms. Coughing and wheezing are counted as respiratory symptoms. These result from the overrunning of the stomach acids into the tracheobronchial tree creating bronchoconstriction.

Acid reflux disease can last for several months if not given proper medical attention. Drug treatment may only be required for a short time. But when the symptoms tend to repetitively occur, the drug treatment may have to be reapplied.

Tennis Elbow in Adolescents

Tennis elbow is a condition in which tendon fibers that attach on epicondyle on the elbows exterior degenerates. The tendons talked about here anchor the muscles that help wrist and hand to lift. Although tennis elbow occurs mostly in patients of thirty to fifty years of age but it can happen to people of any age. Also tennis elbow affects almost fifty percent of teenagers who are in racquet sports thus the name tennis elbow. But still most of the patients who suffer with tennis elbow are people who dont play racquet sports. Majority if the times there isnt any specific injury before the symptoms start showing up. Tennis elbow can also happen to people who use their forearm muscles frequently and vigorously for day to day work and recreational activities. Ironically some patients develop the condition without any of the activity related reasons that leads to the symptoms.

The symptoms of tennis elbow include severe burning pain on the elbows exterior region. In majority of the cases this starts as a slow and mild pain gradually worsening with the passage of few weeks or sometimes months. The pain worsens when one tries to lift objects. In some cases it may pain even while lifting light objects like a book or full coffee cup. In the severest cases it can pain even at the movement of the elbow.

The diagnosis of the tennis elbow involves physician enquiring about the medical history of the teenager and a physical examination of the elbow by pressing directly on the part where bone is prominent on the elbows exterior to check if it causes any pain. The physician may also ask the teenager to lift the fingers or wrist and apply pressure to check if it causes any pain again. X-rays are never opted for diagnosis. However a MRI scan may be done to see changes in tendons at the attachment to the bone.

There are many treatment options available and in majority of the cases non-surgical treatment is given a try. The ultimate goal of the 1st phase of the treatment is pain relief. Be ready to hear from the physician to stop any activity leading to the symptoms. The doctor may also tell the teenager to apply ice to elbows exterior and he/she may also tell the teenager to take anti-inflammatory medicines for relief from pain.

The symptoms also diminished with the help of orthotics. The physician may also want to go for counterforce braces and also wrist splints which can greatly cut down symptoms by providing rest to tendons and muscles. The symptoms should show signs of recovery within 4 to 6 weeks otherwise next option would be to go for a injection called corticosteroid in the vicinity of the elbow. This greatly reduces pain and is also very safe to use. There are many side affects involved if it is overused.
Once there is a relief from pain the treatments next phase starts which involve modification of activities in order to prevent the symptoms from returning. The doctor may also prescribe the teenager to go for physical therapy which may include stretching exercises to gradually increase the strength of the affected tendons and muscles. Physical therapies have high success rates and return your elbow back to normal working again. Again non-surgical procedures are highly successful in eighty five to ninety percent patients.

Surgical procedure is considered only when patients undergo relentless pain that doesnt improve even after 6 months of non-surgical treatment. The procedure involves removal of affected tendon tissue and attaching it back to bone. The surgery is done on outpatient basis and does not need stay at the hospital. The surgery is done by making a small incision on elbows exteriors bony prominence. In recent years a surgery known as arthroscopic surgery has also been developed but no major benefits have been seen using it over the traditional method of open incision.

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