The Truth on Back Pain

Back pain is commonly felt but no one can be blamed for it. It is difficult to figure out and far more difficult to describe. Confusion often arises during diagnosis and patients almost always fail to understand what exactly is hurting and what causes the pain. In this article we will try to resolve some of the most common confusions that often arise as myths.

Contrary to what is popularly believed back pain is seldom related with the spinal chord. Nor does the spinal chord causes any back problems, unless damage is made directly on the spinal cord. This is when paralysis occurs. Otherwise, the chord has nothing to do with frequent back pain rather, the problem may be associated with nerve roots.

The spinal chord ends at the lumbar 1(L1). The spinal column is divided into several sections, the lumbar section comprise the lower back where weight is generally concentrated. Additionally, it is in the lumbar where nerve roots may be located, impairment or any condition that may lead to such is the proponent to pain but never the spinal chord. In any case, paralysis due to back pain is often impossible.

Back pain is believed to be a seldom case among individuals. In opposition, back pain afflicts around 80% of all people some time in their lives. Nobody escapes from this reality, it seems that back pain is a normal part of any stage of life. It will most likely appear during old age but there are people who have been suffering over the pain since time immemorial.

In America alone, back pain is reputed to be the leading cause of disability among individuals aged 45 and above. It is also known to be the second, if not the primary reason why people visit care clinics and stands third for the most frequent reason why people get surgical procedures and fifth for having hospitalized.

Moreover, there is no general rule as to who will be affected with back pain. It doesn’t imply that I you are healthy and do exercise regularly that you may not be susceptible with this form of ailment. In effect, people experience episodes of back pain regardless of the activity they engage into.

Having back doesn’t mean that there is an ongoing damage or degeneration on the lower back. Unlike with acute pain where the level of pain may be associated with the degree of damage on the affected part, chronic back pain doesn’t normally correlate with the level of damage.

There are other myths and beliefs that may be associated with back pain. Removal of such through responsible education can be very effective for people seeking with treatment and coping with their condition.

Living With Heart Failure-How Congestive Heart Failure Impacts Your Life

Living With Heart Failure-How Congestive Heart Failure Impacts Your Life

Heart failure, as well as all the risks that accompany it, can be a terrifying prospect for any man, woman or child. The impact of a heart, the body’s central tool for survival, no longer functioning may seem like the beginning of the end. The good news is, by establishing an effective treatment plan with your cardiologist the prognosis, and the chances for you to lead a normal life, increase exponentially.

Heart failure occurs when the heart can no longer efficiently pump blood throughout the body. The blood pools, and while organs are deprived of vital, life giving oxygen and nutrients the excess sodium that would normally be excreted in the urine builds up in the tissues, resulting in fluid retention that leads to organ stress and the dyspnea that is so common in cases of congestive heart failure. Left untreated, the oxygen deprived organs will eventually cease to function and the patient will die.

Fortunately, there are now many ways to combat the mortality factor associated with heart failure. Doctors can prescribe medications to facilitate the flow of blood through the body and take some of the pressure off the heart; blood thinners can decrease the chances of clots forming in the veins. Aside from medicinal means, there are many factors that may be altered in your lifestyle to impact the prognosis of your disease.

It is essential that the body be given sufficient time to rest in a day. While at rest the heart can more easily pump blood throughout the body; just as you would rest an injured leg when it began to pain you, you should rest your heart as well. On the flip side, it is important to establish a daily exercise routine. It doesn’t have to be three hours of aerobics; a half hour walk every day would have a greater impact on your physical being than nothing. Consult with your physician to find the plan that works best for your individual circumstances.

Along with an exercise plan you should work with your doctor to find the best diet plan for you. In most cases a low sodium diet is recommended to help reduce fluid retention. Diuretics can greatly affect the levels of potassium in the body causing hypokalemia, which can lead to muscle weakness, paralysis and a fatal cardiac arrhythmia; therefore, very often if you have been given a diuretic to take daily a potassium supplement will also be prescribed.

Nicotine can create a serious problem for patients with heart failure. It increases the heart rate and blood pressure while having a negative impact on the oxygen level in the blood. All of these things cause the heart to work harder. It is strongly recommended that if you have been diagnosed with heart failure you quit smoking completely.

Hand in hand with smoking are the inherent dangers associated with contracting a case of pneumonia or flu. If you are able you should receive an annual flu shot, as well as the one time dose of pneumococcal vaccine. This will provide some level of protection against pneumococci bacteria, the major cause of bacterial pneumonia. Pneumonia is a problem for the same reasons as smoking; the decreased oxygen levels in the blood cause the heart to work harder in an attempt to compensate and get oxygen to the organs and tissues. If possible, avoid crowded areas during cold and flu season, and stay away from people you know are sick.

Amazingly, something as simple as the clothes you wear can impact your condition if you have suffered heart failure. Tight clothing can cause blood clots and restrict blood flow to the extremities. In addition, in cases of extreme temperature your clothes should be weather appropriate; if the body has to work to maintain its temperature the heart will have to work that much harder.

Sexual relations can usually be continued as before; however, they should occur in as peaceful an environment as possible to prevent undue stress. If your condition is severe it is important that you discuss this with your physician; it may be necessary to forego sexual relations for a time in favor of other, less stressful shows of affection.

Each of these steps will help you continue to live much as you did before being diagnosed. Heart failure will inevitably impact your life; it is entirely up to you how much.

How do Physicians Treat Congestive Heart Failure?

Congestive heart failure is precisely what it sounds like; it is a failure of the heart to properly function, and its effects on the body can be devastating. Physicians do their best to treat the symptoms and give the patient the best prognosis possible; however, no true cure for congestive heart failure currently exists.

Heart failure occurs when the heart is unable to properly pump blood throughout the body; as a result, rather than distributing nutrients and oxygen to the tissues and then excreting the excess fluid into the urine the blood pools. This results in either a systemic or localized edema as fluid builds up in the veins and organs, causing swelling of the extremities as well as the organs themselves (this fluid accumulation is responsible for an excessive amount of stress on the heart as fluid accumulates in the pleural cavity as well as the dyspnea, or difficulty breathing, often symptomatic of heart failure). The swelling and lack of oxygen and nutrients will result in permanent damage to the organs if left untreated, providing a very poor prognosis for the patient.

The first stage of treatment generally consists of the administration of extra oxygen to attempt to return the oxygen levels in the tissues to normal. Once oxygen has been administered and a pulse oximeter reveals blood oxygen levels to be acceptable the focus will shift to attempting to treat the fluid build-up in the body. Diuretics will be administered to assist the excess fluid on its path out of the body via the urinary tract, and nitrates are administered to cause the vessels to dilate, allowing blood to flow more freely without the heart having to work quite as hard. Treatment with diuretics is often accompanied by supplemental potassium, as the body will excrete potassium in the urine and long term hypokalemia may result in muscle weakness or paralysis, as well as an increased risk of fatal cardiac arrhythmia.

Patients will often be sent home from the hospital with diuretics, as well as a medication known as an ACE inhibitor (an angiotensin-converting enzyme inhibitor) which prevents the body from creating angiotensin, a substance which raises blood pressure and causes the blood vessels to constrict. An angiotensin II receptor blocker may also be administered if the patient continues to produce angiotensin. Patients may also be treated with vasodilators other than ACE inhibitors, particularly if they have responded poorly to treatments with ACE inhibitors in the past. Nitroglycerin is a common example of this type of medication.

Digitalis, or Digoxin, may be prescribed to strengthen the force of the heart’s contractions, aiding it to push blood throughout the body. Treatment with a beta blocker is also beneficial in cases of heart failure, preventing the heart from beating more rapidly in an attempt to compensate for the poor movement of the blood in the body and placing more stress on the weakened muscle.

Blood thinners are used to prevent the formation of clots in the body that may be caused by the decreased movement of the blood in the vessels. Coumadin and heparin are the most commonly prescribed blood thinners in use today; however, due to an increased risk of bleeding patients taking these medications should undergo coagulation testing regularly.

Lifestyle changes are just as important as medications in the long term treatment of heart failure. Patients should consult with their doctor to establish an appropriate (low sodium) diet and exercise program, and should do at least some moderate exercise daily. Equally important is taking sufficient time to rest every day. The heart pumps more easily when the body is at rest, which is vital to an already overstressed muscle. The nicotine from cigarettes causes an increase in heart rate, blood pressure, and the tendency for clumping in the blood vessels; patients with heart failure should abstain from smoking. Flu or pneumonia can be very difficult for hearts that are failing as they attempt to compensate for the lack of oxygen in the bloodstream being carried to the organs. It is very important that patients receive an annual influenza vaccine, as well as a dose of the pneumococcal vaccine, which will protect them from the pneumococcal bacteria that cause over eighty percent of cases of bacterial pneumonia. Wearing non-constrictive clothing will assist in preventing blood clots and facilitating blood flow to the extremeties, and in cases of extremely warm or extremely cold temperatures it is important that the patient take all precautions necessary to keep the body at an appropriate temperature..

Researchers are still seeking to find a cure for congestive heart failure; however, until that day comes it is extremely important that patients suffering from heart failure follow the treatment plan outlined by their physician. With careful attention to maintaining their condition, the prognosis associated with heart failure increases dramatically.

How Many Acupuncture Treatments Will it Take?

Acupuncture is a well-established and increasingly accepted treatment procedure for pain, for emotional troubles, and for an ever increasing number of physical ailments. More and more traditional physicians are referring patients to acupuncture clinics for a certain set of problems that may be treated more effectively, and without the side effects of medication. Also, individuals may decide to use an acupuncture clinic as the first choice to heal a disease.

The length of a treatment varies widely from person to person, depending on the particular symptoms, the age of the patient, how long the condition has existed, and the environment of the patient. There also seem to be patients that are naturally responsive to acupuncture, when all the other factors are similar. A patient that is responsive to acupuncture may only require one or two visits, as is the case with a number of children. Adult patients that are responsive generally require one to six visits for a particular symptom or set of symptoms. In other cases, up to twenty visits may be required, depending on the severity and length of time the symptoms have persisted. But even some remarkable cases such as recovery from paralysis may come about after a very long series of treatments.

For some conditions, such as for chronic pain, daily treatments are recommended until the pain subsides. The same is true for clients using acupuncture as a means to help stop drug addiction, which require daily treatments in order to keep the cravings at a minimal level. In a few patients, the initial treatment may aggravate the symptoms. A similar possibility is that there is a marked improvement after the first treatment, which may be followed by an aggravation of symptoms at the next few treatments. These should be reported in detail to the acupuncture practitioner, who may revise the locations of needles for the treatment, depending on the particular patient.

It is always a good idea to consider an acupuncture practitioner for whatever health problem you might have. Some problems respond exceptionally well with acupuncture. Acupuncture has a very good success rate for such symptoms as headaches, head congestion, cramps (menstrual, muscular, or intestinal), pain, depression, fatigue, hemorrhoids, and children’s nervous disorders. Acupuncture treatments have frequent success in the following areas, though not quite the same success rate as in the areas above. These include diarrhea, painful menstruation, eczema, gastric problems, kidney and gall bladder malfunction, nervous disorders, palpitations, rheumatism, shingles, autonomic nervous problems, especially following surgery.

There are a number of other conditions that acupuncture can be effective for, and for these a practitioner should be consulted, as new results are coming out frequently. Currently, it is thought that acupuncture is more helpful for symptoms rather than curing such diseases as tuberculosis, infantile paralysis, and Parkinson’s disease. Acupuncture treatments are sometimes surprisingly effective after traditional medicine has been tried without success. Lets look at two simple cases. In the first, a lady suffered with pain in her ankle for three years, and no standard medical treatment helped. Careful observation of her symptoms by an experienced acupuncture practitioner cured her in three treatments. The second case was of a farmer who had a low grade fever (about 100 degrees) nearly every night for a number of months. Regular physicians could not determine a cause, nor a solution. Regular acupuncture treatment was not effective. The acupuncture practitioner then applied the treatments at the optimal time (very early AM, not during the normal clinic hours), and the fever disappeared permanently. I hope this introduction to some uses of acupuncture may help you or someone you know to better health.